Rogers, Brock & Barker Veterinary Surgeons

We are a small animal practice in Stoke on Trent, first established over 50 years ago. We are passionate about animal care and our skilled team of veterinarians and vet nurses are dedicated to providing the highest quality care for your animals. Because we love animals and strive to provide excellent continuity of care, we are open six days a week and have access to 24-hour emergency care. For your added convenience, there’s free parking for clients at each of our surgeries.

Register with us

To register with our veterinary practice, please use the form provided below.


                
                        Please select practice*
Your details
Please select title*
Forename**
Surname**
Telephone**
Mobile number
Email**
                            
                        
Address**
Address 2
Town / City**
Postcode**
Pet details
Pet name**
Pet breed**
Age of pet**
Pet colour**
Please select gender**
Please select species**
Please select whether neutered**
Microchip number (if applicable)
Insurance company (if applicable)
Pet description
Additional comments
Would you like to register an additional pet?
								
								
							
Section Break 1
Pet name*
Pet breed*
Age of pet*
Pet colour*
Please select gender*
Please select species*
Please select whether neutered*
Microchip number
Insurance company (if applicable)
Pet description
Additional comments
Would you like to register an additional pet?
								
								
							
Section Break 2
Pet name
Pet breed
Age of pet
Pet colour
Please select gender
Please select species
Please select whether neutered
Microchip number
Insurance company
Pet description
Additional comments
Would you like to register an additional pet?
								
								
							
Section Break 3
Pet name
Pet breed
Age of pet
Pet colour
Please select gender
Please select species
Please select whether neutered
Microchip number
Insurance company
Pet description
Additional comments
Would you like to register an additional pet?
								
								
							
Section Break 4
Pet name
Pet breed
Age of pet
Pet colour
Please select gender
Please select species
Please select whether neutered
Microchip number
Insurance company
Pet description
Additional comments
Section Break 5
Further information
Name of previous veterinary practice
Address of previous veterinary practice
Telephone number of previous veterinary practice
Please confirm you are happy for us to contact your previous practice in order to obtain your pet's records
								
								
							
Data protection: 
When registering as a client with our practice you accept our privacy policy and terms and conditions.
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