Tel: 01442 216048 24 hours
1 Midland Road, Hemel Hempstead, Hertfordshire, HP2 5BH info@bartonlodgevets.co.uk
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Barton Lodge

How to find us

Our address Barton Lodge Veterinary Centre
1 Midland Rd Hemel Hempstead Hertfordshire HP2 5BH
info@bartonlodgevets.co.uk
Tel: 01442 216048

Register as a new client

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

What has prompted registration with us?

Recommendation Location Website

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

What is the sum of two plus two?





 
“ Always so welcoming and friendly. Very glad we registered our dog, he always feels at ease when he visits you. Thanks :) ”

New Client 5.01.2015