Pet Registration Form
Atlas Veterinary Clinic & Surgery

Email for enquiries: hello@atlasvet.com.sg
WhatsApp: 91834340
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FULL Name of pet owner (as per NRIC)
Please state your last name in CAPS.
 *
Contact number *
Email address (invoice will be sent to email address) *
FULL Residential Address (please provide unit number & postal code) *
Pet's name *
Pet's microchip number (if applicable)
Reason for appointment *
Appointment date and time (if appointment hasn't been booked, please state as NIL)  *
Pet's species *
Pet's breed *
Pet's age *
Pet's birthday (if known)
MM
/
DD
/
YYYY
Pet's gender *
Is your pet sterilised? *
Pet's color *
Type of medication preferred *
Preferred vet *
Has your pet visited another vet before? If yes, please provide us with the clinic name for retrieving medical records
Is your pet usually anxious during the visit to a vet clinic? 
- We are the first and ONLY Low-stress Handling Certified Vet Clinic in Singapore.
- Dr Chow is also the first Elite Fear-Free® certified veterinary professional in Singapore.

We can make preparations to safeguard the emotional well-being of your beloved pet.
*
How did you hear about us? *
Name of referral (if any):
Personal Data Protection Act (PDPA)
I consent to the collection, use and disclosure of my pet’s personal data to Atlas Veterinary Clinic & Surgery for the purposes of processing application, transactions, scientific research, marketing and communication.
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