Patient Admission Form

Lakeshore Animal Hospital in Mississauga, ON

  • If your pet is experiencing a medical emergency, call us at 905-858-6767 or bring them to our hospital immediately.
  • To expedite the admission process, please complete the form below before or upon arrival, if possible.
  • Your pet’s medical records will be forwarded to your family/daytime veterinary hospital after your visit.

Emergency Fee + Consult Emergency: $331.91 taxes included

All fields marked with * are required and must be filled.

Primary Owner Information

Only the primary contact will be receiving medical updates from the doctors.

Authorized Representative and/or Emergency Contact Information

If I am not available, then the individual named above is authorized to:

Secondary Contact (if applicable)

Pet Information

Should my pet's condition worsen, I wish for the veterinarian to perform CPR and other life-saving measures while trying to contact me. I agree to be responsible for the costs of such measures and understand that these measures may lead to costs greater than my initial treatment/procedure estimate.
I approve the veterinarian to perform an IV catheter placement, IV fluids, in-house blood work and emergency imaging. The veterinarian will only perform treatments and diagnostics required to stabilize your pet and will speak to you prior to performing any further procedures.

The critical consent deposit is $800 and should cover the cost of these initial measures. Any further costs will be discussed with you by the veterinarian.

Critical Consent Fee: $800 taxes included

North York

Contact

416-380-7400

Address

1 Scarsdale Road
North York, ON M3B 2R2

Major Intersection:
York Mills Road & Leslie Street (south of Highway 401)
Parking: Free in front lot

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Hours of Operation

Open 24 hours a day, 7 days a week.

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Mississauga

Contact

905-858-6767

Address

806 Southdown Road
Mississauga, ON L5J 2Y4

Major Intersection:
Lakeshore Road West & Southdown Road (south of QEW)
Parking: Free in front and underground

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Hours of Operation

Open 24 hours a day, 7 days a week.

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