Current Client Appointment Request

New Address:

Contact method preferred to set up appointment: *

E-mail Call
Which doctor do you normally see?
How soon would you like to have your visit?

As soon as possible Within the next 7 days Within the next 7-14 days Within the next 14-30 days On one of the specific dates I will enter below
Please enter your preferred date or dates for a visit:
i.e. Month/Day/Year - you may include several dates
What time of day would you prefer to have a visit? Please check 1 or more below. We will call or e-mail you with more specific arrival times that are available.

Before Noon Between Noon and 3pm 3pm or later
If your doctor is not available on a particular day/time, may we send a different doctor?

My appointment isn't urgent, I can wait until my normal doctor is available. Yes, please send a different doctor, if necessary. I need to see someone on my requested date/time above.
Name of pet or pets we will be visiting at this appointment:
Please enter every pet will be examining at this visit, separated by commas.
Why will we be visiting your pet(s)? - (i.e. annual exam, illness, injury, et.)? If sick or injured, please write a summary of what you've been observing.
Should be Empty:

At Home Veterinary Services