Client & Patient Details Form
Get Started with Chuka Animal Clinic. Complete our client and patient details form online to make your first visit seamless.
Welcoming New Patients to Chuka Animal Clinic
We’re excited to welcome you and your pet to Chuka Animal Clinic in Regina, SK! To ensure a smooth and stress-free first visit, please complete our form before your appointment. Providing this information ahead of time helps our veterinary team prepare for your pet’s visit and tailor care to their needs.
How to Fill Out the Client & Patient Details Form
- Owner Information – Provide your name, contact details, and address.
- Pet’s Medical History – Share information about vaccinations, medications, and past health concerns.
- Secondary Contact – List a backup contact in case of emergencies.
- Consent & Acknowledgment – Approve treatment and understand our policies.
By completing this form in advance, you’ll enjoy faster check-in and personalized service for your pet.
Book Your First Appointment
We look forward to meeting you and your pet! Submit your form today and schedule your first wellness visit, vaccinations, or health check-up with our team.