Patient Registration Form

This ultrasound teeth cleaning registration form is for new clients of HLG Veterinary Physiotherapy – Emmi-PET Certified. Please complete the form below to register for your dog’s ultrasound teeth cleaning appointment. Once we receive your completed registration form, we’ll contact you to arrange an appointment. We’ll also let you know exactly what to expect at your first visit.

If you have any questions or concerns, please contact Holly directly:

Email: [email protected]
WhatsApp: 07446 911163
Instagram: hlg_vet_physio
Facebook: HLG Veterinary Physiotherapy

View Terms and Conditions View Privacy Policy
Ultrasound teeth cleaning device for dog registration Emmi-PET logo - ultrasound teeth cleaning registration form
Canine Form PDF Canine Form WORD

    Client Details

    I confirm that I have downloaded, completed, and sent my Emmi-PET Consent Form (PDF or WORD) to HLG Veterinary Physiotherapy directly via email, WhatsApp, or Messenger. See above for forms (black boxes).

    Do you agree to follow the payment terms and cancellation policy found in my Terms and Conditions? A copy of my Terms and Conditions can be found on my website.

    Would it be okay if I used images and videos of your animal on my social media for educational purposes? HLG Veterinary Physiotherapy will treat these with respect and will ask for permission in each instance to confirm acceptance.

    Scroll to Top