Curbside, Patient Check In – Peace River Veterinary Services

We know that times are, indeed, unusual right now. We expect that our clients are following all published health recommendations as are we and that by working together will have the best possible outcome for all. We appreciate your support and contribution to keeping us all safe.

Thank you for trusting us with your pet(s) and production animal(s).
We take this responsibility seriously and look forward to partnering with you in their care.
In the spirit of efficiency and great service, we are asking all clients to fill this check in form prior to their appointment.
If you would like to speak to a member of our team or this is an emergency situation, please call us at 780-624-1606, we are here to help you!

I am in this vehicle: *

(please list model & colour)

Best Phone number for today's appointment: *

(the Veterinarian and technician will use this number to communicate with you through the appointment.)

Email *

Patient's Name (or list as herd, flock or appropriate group term) *

Owner's Name *

First

Last

Appointment Date/Time *

Date

Time

What brings you in today? *

Please upload any relevant records, photos, or videos

Click or drag files to this area to upload. You can upload up to 5 files.

Payment

We are happy to provide care for your animal and will review all estimated costs before proceeding with any treatment or procedure as part of our informed consent process. *

I have read and understand

Payment is accepted at the time of service unless otherwise pre-authorized through our Clinic Manager. *

I have read and understand

Comment