Register Your Patient

This registration form is for veterinarians to register their patients on behalf of the owners. If you are a pet owner and wish to register your pet, please select if your pet is a cat or a dog.

If you are a veterinarian, we welcome you to include your patient’s pet in our registry.

To include your cat, please fill out the following form:

If you are a veterinarian, we welcome you to include your patient’s pet in our registry.

Name*

First
Last
Your Practice's Name*
Email*
Address*

Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code

Country
Phone*
Your Patient's Name*
Your Patient is:*
- Cat
- Dog
Dog Breed
Cat Breed
Pet Age*
Diagnosis*
Your Patient's Owner's Name*

First
Last
Your Patient's Owner's Address*

Street Address
City
State / Province / Region
Zip / Postal Code

Country

TVCR has a great respect for your privacy. Any and all information submitted to the registry will be used exclusively for the TVCR registry and will not be given or sold to any party unaffiliated with the TVCR. Your personal data will be kept private.

© 2011 TVCR All Rights Reserved. The information contained on this site are intended solely for informational purposes and not for the purpose of rendering medical or veterinary advice. Any information obtained from this site must not be used in the diagnosis or treatment of an animal without the express review by a certified veterinarian. The Texas Veterinary Cancer Registry assumes no liability or responsibility for any injury or illness that may result from the use of information located on this site.

Register Your Patient

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Register Your Patient

Contribute

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Register Your Pet

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