Primary Caregiver *

First Name

Last Name

Phone (cell number preferred) *

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Preferred Method of Contact *

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Call

Text

Email

Appointment Address *

See our Contact Page for coverage area if outside of Winnipeg.

Address 1

Address 2

City

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Zip/Postal Code

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Assistance to Vehicle

Our veterinarian will require assistance from someone in the home with all pets over 32lb (15kg). Please let us know if there is not someone physically capable so we can arrange assistance. Dogs over 90lb (41kg) will require pickup from your home by the crematorium. Select all that are applicable.

Assistance required (pet between 32-90lb) [$75]

Crematorium pickup required (pet over 90lb) [$110]

No additional assistance required

How Did You Find Us? *

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Vet Referral

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MB Pet Expo

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