TYWYN
01654 710416

CAMBRIAN VETS

professional pet healthcare

MACHYNLLETH
01654 702444

FOR EMERGENCY + OUT OF HOURS CARE CALL 01654 710416

Registering Your Pet

Thank you for wanting to register your pet with Cambrian Vets.

You can either fill in the form below and one of the team will be in touch to arrange your initial consultation, or if you prefer you can download and print off a copy of the form and phone us to arrange a time to come in for your pet’s first health check with us.

Please make sure that you’re happy with the practice’s terms and conditions before filling out the form. You’ll be required to check that you’ve read and accept them before you can click to submit your details. You can find our terms and conditions here.

Online Registration Form

In an emergency, please phone the surgery immediately.

Do you need to see a vet within the next 3 working days?: YesNo

Your Details

First Name*:
Surname*:

Permanent Address (required)

Address1*:
Address2:
Town*:
County:
Postcode*:

Holiday Address (if here on holiday)

Address1:
Address2:
Town:
County:
Postcode:
Home Telephone*:
Work Telephone:
Mobile:
Email Address*:

Your Previous Vet

Information only required if applicable

Practice Name:
Address1:
Address2:
Town:
County:
Postcode:
Please note: we are obliged to contact your previous veterinary practice to request a history for your pet. If your pet was registered under a different name, or your details and address differed, please include the details that will help them to find your pet's history:

Additional Agents

If you would like to give permission for other persons to act on your behalf, or instruct us on your behalf on how to treat your pet, please give us their details below:

Your Pet(s)

Pet's Name*:
Age*:
Species*:
Breed:
Gender*:
Is your pet neutered?: YesNo
Current conditions/medications your pet has/receives:

Pet Two

Pet's Name*:
Age*:
Species*:
Breed:
Gender*:
Is your pet neutered?: YesNo
Current conditions/medications your pet has/receives:

Pet Three

Pet's Name*:
Age*:
Species*:
Breed:
Gender*:
Is your pet neutered?: YesNo
Current conditions/medications your pet has/receives:

Acceptance of Terms & Conditions

I give my permission to add my email address to the newsletter mailing list so I can receive the latest news and offers from the practice:

Sign me up!No thank you
I have read and agree to the terms presented in Cambrian Vet's Terms and Conditions (click to open our Terms and Conditions in a new window). Please note, you won't be able to submit your registration without checking this box: