Register - Ferndown Family Vets

Registration Form

Thank you for registering your interest in joining Ferndown Family Vets.

In order to ensure our exceptional service to those pets already under our care we have a registration process.

Please take a second to fill in the details below and our lovely customer care team will be in touch in the next couple of days.

Fields marked with an asterisk (*) indicate the field is mandatory and must be filled out.

Your Information

Current Vets

I consent to Ferndown Family Vets contacting my current vet to obtain records where appropriate.

I have read and understood ‘Ferndown Family Vets’

Data Consent *

I consent to my data being used in line with the ‘Ferndown Family Vets’

The costs of our care can be found here.

Title *

First Name *

Last Name *

First line of address *

Second line of address

Post Code *

Email *

Phone Number *

Reason for registration *

Number of pets *

Pet 1

Pet 1 Name *

Pet 1 Species *

Pet 1 Gender *

Pet 1 Breed *

Pet 1 Age - years *

Pet 1 age - months *

Pet 1 - Does your pet have any ongoing, pre-existing conditions (if none please write ‘no’)? *

Pet 1 - Is your pet on any ongoing medications? *

Pet 1 Favourite Treat

Pet 2

Pet 2 Name *

Pet 2 Species *

Pet 2 Gender *

Pet 2 Breed *

Pet 2 Age - years *

Pet 2 Age - months *

Pet 2 - Does your pet have any ongoing, pre-existing conditions (if none please write ‘no’)? *

Pet 2 - Is your pet on any ongoing medications? *

Pet 2 Favourite Treat

Pet 3

Pet 3 Name *

Pet 3 Species *

Pet 3 Gender

Pet 3 Breed *

Pet 3 Age - years *

Pet 3 age - months *

Pet 3 - Does your pet have any ongoing, pre-existing conditions (if none please write ‘no’)? *

Pet 3 - Is your pet on any ongoing medications? *

Pet 3 Favourite Treat

Pet 4

Pet 4 Name *

Pet 4 Species *

Pet 4 Gender

Pet 4 Breed *

Pet 4 Age - years *

Pet 4 age - months *

Pet 4 - Does your pet have any ongoing, pre-existing conditions (if none please write ‘no’)? *

Pet 4 - Is your pet on any ongoing medications? *

Pet 4 Favourite Treat

Thank you for registering your interest in joining Ferndown Family Vets. In order to ensure our exceptional service for those pets already under our care we have adjusted our registration process. We will be continuing to accept new puppies and kittens. For all other pets we are now operating a ‘waiting list’ and will be in touch as soon as we’re able to welcome these patients into our family. Thank you for your understanding.

Sorry, there was a problem, please try again or get in touch to register via phone or email.