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About us
Learn about us
Meet our team
Carbon neutral and sustainability
Our services
Consultations
Vaccinations
Surgery
Dentistry
In-house laboratory
X-ray and Ultrasound
Microchipping
Petcare information
Puppy care
Kitten care
Dog care
Cat care
Rabbit care
Guinea pig care
Anaesthetic information
Pet insurance
Contact us
03 9449 1100
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Welcome to Brimbank Veterinary
Clinic and Hospital
So that we can best help you look after your
pets, please take the time to complete the
following for our records:
Your details:
Title (Mr/Ms/Mrs/Miss)
*
First name
*
Surname
*
Home phone
Work phone
Mobile
*
Email
*
** To receive vaccination or health check reminders via email
Postal Address:
Street or PO Box
*
Suburb
*
Postcode
*
Additional contact person:
Title (Mr/Ms/Mrs/Miss)
First name
Surname
Relationship
Home phone
Work phone
Mobile
Patient details:
Name
*
Species (Dog/Cat/Bird)
*
Breed
*
Colour
*
Sex
Male
Female
Is your pet desexed?
Yes
No
Date of Birth (XX/XX/XXX or estimate of age)
*
Weight
*
Microchip number
Date of last vaccination (XX/XX/XXX)
Please specify any medication your pet is on
Pet insurance provider and Policy number
How did you find us (please tick):
How did you find us
Passing by
Internet
Instagram
Facebook
Referral (Let us know who to thank below)
Other (Please specify below)
Referral details
Terms and Conditions I have confirmed that I have read the clinic terms and conditions at www.brimbankvet.com.au/terms-and-conditions/
*
Accept
Give us a call to discuss your pet’s health.
03 9449 1100