(905) 913-8888 or Toll Free: 1-833-VET-LOVE |   50 Lacoste Blvd #117, Brampton, ON L6P 3Z8

Lacoste Animal Hospital

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New Patient Form

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  • First Pet

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  • Second Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
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  • RabiesFELVENT-FVRCPFIP 
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  • Third Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
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  • RabiesFELVENT-FVRCPFIP 
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  • I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.

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Lacoste Animal Hospital

Phone: (905) 913-8888 Address: 50 Lacoste Blvd #117, Brampton, ON L6P 3Z8

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