Client Registration Form

Client Registration Form

Thank you for showing interest in Beechwood Animal Hospital. Due to professional regulatory rules in Ontario, you need to be an active client at the clinic to gain access into the client only section. To become an active client, we need to have seen one of your pets for a consultation in the last 18 months. If you are an active client then click on the button below to apply for access. Our office manager will confirm your status at the hospital, and send you a confirmation email. Thank you for being a loyal customer, and thank you for all your kind referrals.The required sections have a red * asterisk.
  • Owner's Name

  • Address

  • Co-owner's Name & Contact #

  • Pet Information

  • Date Format: MM slash DD slash YYYY