Microchip Details

If your pet is implanted with an PHT microchip, complete registration below:

Contact Information

Please fill out your contact information as well as an emergency contact information to be contacted in the case of a missing pet.

Pet Details

Please fill out as much information as possible for your registered pet.

Vet or Breeder Details

Having your Vet or Breeder on file is another way to help get your pet home safely. If your information is not up to date, your vet clinic can usually provide your updated contact information.

Terms of Agreement

  • Microchip Details
  • Contact Information
  • Pet Details
  • Vet or Breeder Details
  • Terms of Agreement

Microchip Details

Microchip Number

Batch Number

Implant Pin

Collar Tag

Implant Date

Pet Owner Details

First Name

Last Name

Address

City

Postal/ZIP Code

Country

State/Province

Driver's License Number

Email

Secondary Email

Phone Number

Secondary Phone

Emergency Contact

Contact First Name

Contact Last Name

Contact Phone Number

Contact Email

Pet Details

Pet Name

Gender

Birthdate

Species

Breed

Colour

Neutered?

Health Insurance Registered?

Notable Conditions

Registrations & Associations

Adoption Number

Medical History

Rabies Vaccination?

Vaccinated On:

Vet Details

Veterinary/Breeder Name

Phone

Terms of Agreement

Terms

Having trouble registering? Register by phone toll-free at: 1-855-373-8943