New Client Form

Welcome to Gateway Veterinary Services! We look forward to taking amazing care of your beloved pet. Please fill out the form below before your appointment so we can get to know you and your pet(s). We’re here to provide a calm, relaxing experience for your family.

Registration

Name of Owner *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cell Phone *

Alternate Phone

Your cell phone will be utilized to update you on patient status, appointment reminders, and to contact you directly in regards to your pet/livestock.

Email *

Spouse/Partner

Phone

Preferred Contact Method *

Phone
Email

How did you hear about us? *

Google
Facebook
Twitter
Instagram
Sign / Walked by
Referral
Other

Who referred you, we'd love to thank them!

If Other, please explain

Patient Information

Pet's Name *

Species *

Cat
Dog
Other

If Other, please elaborate

Age *

Date of Birth

Sex *

Female
Spayed Female
Male
Neutered Male

Breed *

Colour *

List any known allergies

Other pets in the household? *

Would you like to add information for another pet? *

Pet's Name *

Species *

Cat
Dog
Other

If Other, please elaborate

Age *

Date of Birth

Sex *

Female
Spayed Female
Male
Neutered Male

Breed *

Colour *

List any known allergies

Would you like to add information for another pet? *

Pet's Name *

Species *

Cat
Dog
Other

If Other, please elaborate

Age *

Date of Birth

Sex *

Female
Spayed Female
Male
Neutered Male

Breed *

Colour *

List any known allergies

Please upload any of your pet's records that you may have

Click or drag files to this area to upload. You can upload up to 5 files.

Do you have pet insurance? *

If yes, please let us know which company

Former Veterinarian Name/Hospital

Former Veterinarian's Phone Number

Authorization

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment or hospital treatment. *

I have read and agree

I hereby authorize the release of my pet’s medical records to another facility (boarding/daycare, urgent care facility, etc.), should they be requested. *

Signature of Pet Owner *

Date *

Website

Welcome to Gateway Veterinary Services!

We look forward to taking amazing care of your beloved pet. Please be sure to contact us with any questions you may have. We’re here to provide a calm, relaxing experience for your family.

Address

710 Hamilton Ave W
Melfort, Saskatchewan S0E 1A0
Click here for directions.

Business Hours

Mon: 8 AM – 12 PM + 1 PM – 5:30 PM
Tue: 8 AM – 12 PM + 1 PM – 5:30 PM
Wed: 8 AM – 12 PM + 1 PM – 5:30 PM
Thu: 8 AM – 12 PM + 1 PM – 5:30 PM
Fri: 8 AM – 12 PM + 1 PM – 5:30 PM
Sat: Closed
Sun: Closed
Available for emergency calls 24/7.

Contact Info

Toll Free: 844-752-7387
Call/Text: 306-752-7387
Email: theteam@gatewayvet.ca

Book an appointment online from any device!

Click the button below to get started. We look forward to seeing you and your family soon!

APPOINTMENT