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Which specialty service are you requesting an appointment for?
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Neurology
Surgery
Oncology
Internal Medicine (Referral from your primary care vet required)
Ophthalmology (New consults currently booking out 5-6 months, we do not perform CERF/OFA eye exams)
Nephrology / Critical Care
If you have an emergency, do not fill out this form. Instead, call the hospital. We do not take same day appointments. Pets needing immediate care must come through the ER.
Please share a brief description of your pet’s medical concerns for this appointment:
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Have you been to our hospital before?
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No
Name
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First
Last
Address
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
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Email
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Primary Care Veterinarian's Name
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Primary Care Veterinary Clinic
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(We will be contacting them to request medical records)
Pet's Name
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Pet's Breed
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Pet's Sex
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Neutered Male
Spayed Female
Intact Male
Intact Female
Pet's Date of Birth
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Pet's Color
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