New Patients

Welcome to BC Animal Hospital. Filling out this form will help speed up the check-in process so that we are ready to go when you arrive for your first visit. Your information is strictly confidential and is not kept on this website. Once this form is filled, we will contact you within 24 hours to ensure that this information is correct and to confirm an appointment time with you.

If you have visited us before and wish to request an appointment or renew a prescription, please use this form instead. It's shorter and easier!


Contact Information


Preferred method of contact:
Phone: Email


Patient Information

Dog Cat Other
Male Female
Yes No Not Sure

Medical Information

Please complete to the best of your knowledge:

Vaccine History

Diet

What are you currently feeding your pet? Please include treats and amount fed:

Treatment History


Any current medications, supplements or treatments?


Please include any other relevant medical information such as
allergies, drug reactions, major surgeries and ongoing illnesses:

Yes No


Appointment Request


Type of appointment:


Please provide details:



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Please ensure that your contact information is correct prior to clicking Submit!