This feature should be utilized for wellness visits only. If you need a same day appointment or your pet is sick or injured please call our office to schedule an appointment. When requesting an appointment for a wellness visit please select times 4-6 weeks in advance to ensure we are best able to accommodate your selection. If you have a preferred doctor, please indicate which doctor you would like when requesting an appointment for your pet. Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details. Thank you!

* Name:

* Phone:

* Email:

* Pet:

* Pet Species:

* First Choice Date:

* Second Choice Date:

* Service requested:

Comments:

* Verification: