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Register your pet with us

You can use the form below to register as a client with us. Existing clients may also add new pets to our records using this form. Please allow a few days for our records to be updated.

In order to create an accurate record for you, please complete all the fields in this form

Are you already a client with us?

Yes No

Title:

First Name:

Surname:

Address:

Postcode:

Telephone Number:

Email address:

Pet's Name:

Species:

Breed:

Colour:

Sex:

Male Female Unsure

Neutered:

Yes No Unsure

Is your pet vaccinated?

Yes No Unsure

Date of last vaccination:

Age:


Withy Grove Vets
39 Station Road,
Bamber Bridge,
Preston
PR5 6QR
Tel:01772 330103
Fax:01772 330669
Email Us


Reception is open:
Monday to Friday
8.30am to 8.00pm
Saturday
8.45am to 2.00pm
Sunday
1.30pm to 4.00pm

Designed and hosted by R&Y Business Services Ltd