Request An At-Home Visit

An important step in maintaining the health and happiness of your pet is to schedule an appointment with a qualified veterinarian.  Please contact our office by phone or complete the appointment request form below.  Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

 


 

Patient Information

Name:

Email:

Phone:

Address:

Zip Code:

Are you a current patient?
 Yes
 No

Patient Availability

Preferred day(s) of the week for an appointment?
 Anyday
 Monday
 Tuesday
 Wednesday
 Thursday
 Friday

Patient Availability

Preferred day(s) of the week for an appointment?
 Anyday
 Monday
 Tuesday
 Wednesday
 Thursday
 Friday

Preferred time(s) for an appointment?

 Anytime
 Morning
 Afternoon

Reason For Visit

Please describe the nature of your appointment?


Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.



These statements outline the terms and conditions regarding appointments and transactions:

1. Appointment Reservation: If an appointment time is offered, it will only be held for a duration of 24 hours. This implies that if you don't confirm the appointment within this timeframe, it may be given to someone else.

2. Booking Fee Policy: All appointments necessitate a booking fee equivalent to the cost of the exam. This fee is non-refundable if the appointment is cancelled within 24 hours of the scheduled time. This means that if you cancel your appointment less than 24 hours before it's due, you won't get a refund for the booking fee.

3. Credit Card Transaction Surcharge: Due to increased costs and inflation, there is a 3.50% surcharge added to all transactions paid with a credit card. The prices displayed on invoices reflect discounted prices for cash payments. Hence, if you pay by cash, you can save money compared to paying by credit card.