New Clients | Re-order Medication | 24 hour Emergency Service 01252 721191

Cathcart & Winn

Register As A New Client

Register As A New Client

Welcome to Cathcart and Winn.We look forward to meeting you and your pet(s).
If you would like to register as a new client please fill in the form below then click Submit and it will be sent to us via email. Fields marked with an asterisk (*) are required.
You are also welcome to call in to either of our surgeries during normal surgery hours or telephone us on 01252 721191 for Farnham and 01252 321996 for Aldershot.

Title: *

First Name: *

Last Name: *

Address: *

Postcode: *

Home tel no: *

Work tel no:

Mobile tel no:

What is your e-mail address? *

Pet's name: *

Pet's D.O.B. / approx age: *

Species (dog / cat / rabbit etc): *

Breed: *

Colour: *

Gender: *
Male Female
Spayed / Castrated: *
Yes   No

How many pets do you wish to register? If there are more than 1 we will contact you to confirm details of your other pets. *

Insurance company:

Microchip: *
Yes No
ID chip no:

Previous Vet's name:

Previous Vet's phone number:

If your pet was registered under a previous address, please supply this address:

Please confirm that you are happy for us to contact your previous practice in order to obtain your pets records. Yes, you have my permission to contact my previous practice.

How did you hear about us? *

Please enter this security code then press submit:

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©2015 Cathcart & Winn Veterinary Hospital Limited. Registered office: Leyton House, 51 Hale Road, Farnham, Surrey, GU9 9RB
Company No. 07280425 VAT No. 188 0843 32