UNDER CONSTRUCTION - DO NOT USE PLEASE

Potton Veterinary Surgery Online registration form:

To register simply complete the form below.  We will reply by email, within the next working day and supply a provisional consultation time. 

In case of emergency or if you need an appointment sooner, please call by telephone (01767 260 007).

Fill in our new client registration form. Please fill in the form below and click the "submit" box to send to us. Please ensure that all relevant fields are completed.

 

Your Name
Surname
Your pet's name, species, breed, sex (neutered or not), and age.  Multiple pets can be entered.
Telephone number (Home)
Telephone number (Mobile)
Email Address
Your address and postcode
Your previous address (if different)
Please tick to confirm that you are happy for us to contact your previous vet's in order to obtain your pets records	I am happy for Potton Vets to obtain my pets history.
Previous vet
Where did you hear about us?
What prompted you to register with us?	Recommendation   Location   Website
Reason for consultation	Registration Vaccination Sick pet
If sick, what is the main symptom?
When would you like a consultation?	Monday morning (8:30-10:30am) Monday afternoon (4-7pm) Tuesday morning (8:30-10:30am) Tuesday afternoon (4-7pm) Wednesday morning (8:30-10:30am) Wednesday afternoon (4-7pm) Thursday monring (8:30-10:30am) Thursday afternoon (4-7pm) Friday morning (8:30-10:30am) Friday afternoon (4-7pm) Saturday morning (8:30am-12 midday)
Time preference:

What do I need to know?

• Registration and full health examination of a healthy pet that we have not seen before is free.
• Routine procedure and consultation fees can be found here.