Registration form

Please fill in this form and someone will email you registration confirmation details.

A professional relationship between a client and their veterinary surgeon must be based on mutual trust and an understanding of what is expected from each other. If you would like to register with us, please apply using the form below and we will get back to you by the next working day to let you know whether you have been successful. During busy times, a waiting list will be kept, but we will inform you if this is the case when we contact you.

I agree to pay at the time of my visit for services received in full (or where relevant my insurance excess) *
I agree to pay at the time of my visit for services received in full (or where relevant my insurance excess)
I agree to always communicate politely and respectfully with all members of the Bescoby Equine Vet team *
I agree to always communicate politely and respectfully with all members of the Bescoby Equine Vet team
I understand that no member of the Bescoby Equine Vet team will commit insurance fraud *
I understand that no member of the Bescoby Equine Vet team will commit insurance fraud

FAILURE TO AGREE TO ALL OF THE ABOVE MEANS YOUR APPLICATION WILL NOT BE ACCEPTED. FAILURE TO ADHERE TO THE ABOVE AGREEMENTS MAY CAUSE US TO BE UNABLE TO CONTINUE PROVIDING YOUR VETERINARY SERVICES.

Do you intend to use Bescoby Equine Vets as your sole equine veterinary provider
Do you intend to use Bescoby Equine Vets as your sole equine veterinary provider
Has your animal been registered at another veterinary practice since you have owned them *
Do you intend to use Bescoby Equine Vets as your sole equine veterinary provider
If Yes - Do you agree to send Bescoby Equine Vets your animal’s previous clinical history *
Do you intend to use Bescoby Equine Vets as your sole equine veterinary provider
Animal Name*
Client Name*
Client Home Address*
Yard Address (if different)
Contact Details
Patient Details
Section_XI *
Section_XI
Is your horse insured *
Are you currently experiencing any problems with your horse that require veterinary attention (Please provide details) *
Thank you for registering with Bescoby Equine Vets. You will receive confirmation of your registration soon.
There was an error trying to send your message. Please try again later.

By clicking the 'Submit' button I consent to having this website store my submitted information, for Bescoby Equine Vets to contact me and - if the application is approved - for my details to be stored on the Practice Management System and for us to contact you with relevant information relating to our services. You can opt out at any time by emailing office@bescobyequinevets.co.uk