New client registration form – Roker Park Veterinary Centre

Please complete the fields below and somebody from Roker Park Veterinary Centre will be in touch to confirm your registration with the practice. If you have several pets, please complete the form for one pet initially and we will register the remainder when we contact you. Tick the ‘Call me to receive a Vetsure Pet Insurance quote’ box if you are interested in receiving a pet insurance quote and somebody from the Vetsure team will also be in touch.

* denotes mandatory field