Barton Lodge Vets - 1 Midland Road, Hemel Hempstead, Hertfordshire HP2 5BH, United Kingdom
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RCVS Accredited Practice
Investor in People
e-Pet Health Information
Wormfree - Cat and dog owners learn how to keep your pet free of worms
Fleas - Pet Owners Guide to Flea Control for Cats and Dogs Using Pet-friendly Flea Treatments
Hill's Pet Nutrition
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Pet Travel Scheme (PETS)


Barton Lodge Vetinary Centre Contact Details
Register as a new client

Register as a new client

Special online offer! A free nurse health check for your pets when you sign up online.

Please fill in the form below and click submit for it to be sent to us via email. Fields marked with an asterisk (*) are required fields.

How many pets do you wish to register? *

Title: *

Name: *

Surname: *

Address: *

Postcode: *

Home tel no: *

Work tel no:

Mobile tel no:

What is your e-mail address?



Pet's name: *

Pet's D.O.B. / approx age: *

Species (dog / cat / rabbit etc): *

Breed: *

Colour: *


Sex: *
Male Female

Spayed / Castrated: *
Yes No

Insurance company:


Microchip: *
Yes No

ID chip no:



Previous Vet's name:

Previous Vet's phone number:

If your pet was registered under a previous address, please supply this address:


Please confirm that you are happy for us to contact your previous practice in order to obtain your pets records.

Yes, you have my permission to contact my previous practice

Where did you hear about us? *


What has prompted registration with us?

Recommendation Location Website

Special online offer!

A free nurse health check for your pets when you sign up online.


Please answer the following question to prove that you are a real person

What is the sum of two plus two?





 


 

Barton Lodge Vetinary Centre
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Barton Lodge Veterinary Centre Ltd - 1 Midland Rd Hemel Hempstead Hertfordshire HP2 5BH Tel. 01442 216048
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