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Veterinary Specialty Centre of Newfoundland & Labrador
709-221-7838
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ABOUT
SERVICES
EMERGENCY
REFERRAL
SURGERY
DIAGNOSTICS
REHABILITATION
REHAB PROGRAM
ONCOLOGY
BLOOD DONOR PROGRAM
FOR VETS
CASE FEEDBACK
LABORATORY REQUISITION
MAKE A REFERRAL
SUBMITTING RADIOGRAPHS
CAREERS
CONTACT
EMERGENCY
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ER HOURS - From Sunday at 8:00 AM through Friday at 8:00 AM
Blood Donor Program Application
Blood Donor Program Application
Owner Information
Full Name *
Email Address *
Primary Phone *
Secondary Phone
Address *
City *
Province *
Newfoundland and Labrador
Alberta
British Columbia
Manitoba
New Brunswick
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code *
Donor Information
Dog's Name *
Breed *
Date of Birth *
Calendar
Microchip # (if applicable)
Your pet's gender
-- Please Select --
Male
Male, Neutered
Female
Female, Spayed
Origin if outside Canada / Travel History
Primary Veterinary Clinic *
Primary Veterinarian *
Health History
Most Recent Vaccinations
Rabies
DA2PP
Other
Vaccination Dates
Known Disorders *
Liver Disease
Seizures/Epilepsy
Heart Disease
Diabetes
None
Other
On parasite preventative medication last season? *
Yes
No
On any other medication? If yes, please list.
Approximate Weight *
Security Question *
I HAVE READ AND UNDERSTOOD THE
PRIVACY POLICY
*
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ABOUT
SERVICES
EMERGENCY
REFERRAL
SURGERY
DIAGNOSTICS
REHABILITATION
REHAB PROGRAM
ONCOLOGY
BLOOD DONOR PROGRAM
FOR VETS
CASE FEEDBACK
LABORATORY REQUISITION
MAKE A REFERRAL
SUBMITTING RADIOGRAPHS
CAREERS
CONTACT
EMERGENCY
WE'RE HIRING - CLICK HERE TO LEARN MORE!