Register With Us

Please fill in the form below to register your pets with us! If you have any issues please email us at hello@malvernhillsvets.co.uk

Once we have entered your details into our system we shall email you confirmation, please check your junk mail folder if you have not received this.
We will need to request your pets histories from your current vet, we will email you again at this time to ask you to contact your current vets to give permission for your pets histories to be shared with us.

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First Name *

Address contact provide

Last Name *

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

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Pet

Please add the details of your pet below. In order to add multiple pets please click on “Add another pet”.

Name *

Species *

Breed *

Sex *

Date Of Birth

If unknown please ignore.

Weight – Kg

Neutered? *

• Yes
• No

What is the name of your current vet? Please contact your vet to give permission for us to contact them.

Does your pet have any known allergies? If so please provide details.

Does your pet have any pre-existing medical conditions? If so please provide details.

Is your pet on any long term medication? If so please provide details.

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