Eagleson Veterinary Clinic

24-Hour Emergency Care

(613) 383-8381

46-500 Eagleson Rd, Kanata, ON K2M 1H4

Accepting New Clients

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Eagleson

Veterinary Clinic

Emergency

Seamless Pet Care Transfers

Patient Transfer

Welcome to the Eagleson Veterinary Clinic's Transfer Form. This form is intended for use by veterinary care professionals only. For pet owners, call and schedule a routine consult and gather your pet's medical records for the appointment. Inform our front staff at check-in of your desire to become regular clients. They will guide you through the process. A hospital representative must complete the form for the patient's care to transfer to our clinic. Thank you for cooperating.

    CLINIC
    INFORMATION

    Animal Hospital Name*

    Hospital Phone Number*

    Hospital Email*

    Veterinarian Full Name*

    CLIENT
    INFORMATION

    Full Name*

    Phone Number*

    Primary Email*

    PATIENT
    INFORMATION
    Pet Name*

    Age*

    Gender*

    Species*

    Breed*

    PRESENTING CONCERNS*

    MEDICAL HISTORY*

    X-Rays(if taken)