Register Your Pet

Select all of the services required:

A few details about yourself:

Title *

First name *

Surname *

Address *

Town/City *

Postcode *

Email *

Phone number *

Alternative phone number

Are you a new or existing customer? *

Pet's name *

Species *

A few details about your pet(s):

You can register up to 10 pets using this form. Select the 'Add Another Pet' button to add more pets.

Please fill out as much detail as possible as it will help with the care of your pet and assist us if your pet is brought to us if they get lost.

Pet details

Pet's name

Species

Gender

Age

Breed

Neutered

Colour

Microchip number

Date of last vaccination

Insurance company

Policy number

**We are required to inform your previous vets that your pet is now registered with us. A full clinical history will be requested.

Name of previous Vets surgery

Address of previous Vets surgery

Contact number of previous Vets surgery

I consent for Cromwell Vets to contact my previous Vets

Request an appointment:

Our appointments can be very busy and we can be fully booked. Please can we ask if you require an appointment within the next 2 working days, please phone your local surgery for availability.

Preferred date

Preferred time

Surgery

Would you like to see a particular vet?

Reason for appointment

Reason for appointment - more information

Form submission

Cromwell Vets is part of Linnaeus Veterinary Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy.

We may use your information to send you reminders about products and services you have already purchased from us by SMS, email or post. These may be sent when your pet is due for a vaccination, flea or worming treatment or when your pet is due for a check-up recommended by your vet.

The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes.

You must be 16 years old or older to submit a form.

SMS

We would like to send you our newsletters and contact you about promotions which may be relevant to you by email and SMS. If you agree to being contacted in this way please tick the relevant boxes;

SMS

I agree to the Privacy Statement *

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