Register as a new client

Please take the time to fill in our new client pet registration form.

When your dog or cats attend the surgery, they will each be given a free blue house name tag. This is engraved with our name and phone details on one side. You can get your pet's name engraved on this tag if you wish, at your own expense. We have negotiated a price of £1 per tag for this with Newtons in the Capitol Walk precinct at Congleton. We have been unable to source a location for this in Biddulph.

If you recommend a friend to us, we will award £5 against future vets bills with us when they attend for a consultation (sorry but collecting a cat wormer does not do the trick!) This £5 can be redeemed at any time in the future. Recommend 3 friends and we will make it £20 in total.

Please fill in the form below and click submit for it to be sent to us via email. Fields marked with an asterisk (*) are required fields.

Title: *

Name: *

Surname: *

Address: *

Postcode: *

Home tel no: *

Work tel no: *

Mobile tel no:

What is your e-mail address?

Pet's name: *

Pet's D.O.B. / approx age: *

Species (dog / cat / rabbit etc): *

Breed: *

Colour: *

Sex: *
Male Female
Spayed / Castrated: *

Insurance company:

Microchip: *
Yes No
ID chip no:

Last vaccination date:

Previous Vet's name:

Previous Vet's phone number:

If your pet was registered under a previous address, please supply this address:


Please confirm that you are happy for us to contact your previous practice to tell them that you will be changing to us, and that you wish your pet's records to be transferred to us.

Yes, you have my permission to contact my previous practice

Where did you hear about us? *
Nothing selected...A friendDriving / passing byOnline searchUsed you beforeVetClick.comYell.comYellow Pages

What has prompted registration with us?

Recommendation Location Website

Please answer the following question to prove that you are a real person

What is the sum of two plus two?