New clients registration

We would love your pet to join the Streetly Vets family. You can use this form to register your pet with us and we will email you back to confirm. If you don't see our email please check your spam/junk folder.

If your pet needs to see a vet now, please phone for an appointment on 0121 572 6527

About You

Title (required)

How would you prefer to be contacted? (required)

About Your Pet(s)

Number of pets (required)

If more than 3 use the any other information box

Pet 1

Pet type (required)

What sex is this pet? (required)

Has this pet been neutered? (required)

Is this pet microchipped? (required)


Is this pet insured? (required)

Pet 2

Pet type

What sex is this pet?

Has this pet been neutered?

Is this pet microchipped?


Is this pet insured?

Pet 3

Pet type

What sex is this pet?

Has this pet been neutered?

Is this pet microchipped?


Is this pet insured?

Please provide the name and address of your previous vet practice (if you had one) so we can contact them for medical history of your pet(s):

Any other information you want us to know: