REQUEST AN APPOINTMENT

Appointment Request Form

Please take a moment to fill out the form below and we will respond to your request within 48 hours.

Name

First Name

Last Name

Phone

(###)

###

####

Is it OK to text you on this phone number?

Yes

No

Email

What is your Pet's Name?

What Species is your pet?

Please select one

Dog

Cat

If you know your pet's breed(s), you can enter them here

Do you have more than one (1) pet concerning this appointment?

Yes

No

If you answered "yes" to the previous question, please explain further

Tell us a bit about this pet's personality, and their relationships with the other pets and people in your home.

Are there any situations in which this pet has shown anxiety, fear, or aggressiveness? If yes, please describe, including what was done about it.

Date

If you have a preferred date, please specify below and will verify is this date is available.

MM

DD

YYYY

Is there anything else you'd like to share concerning this appointment?

Disclaimer

High Veterinary Housecall Services provides wellness, chronic disease management, vaccinations, non-urgent sick appointments, lab test and in-home euthanasia only. If your pet needs emergency, urgent care, dentistry, or surgery, you will be referred to one of our trusted colleagues.

If your pet needs immediate care

Please use the resources referenced here if your pet is in need of immediate care or find your local Veterinary Urgent Care Clinic.

REQUEST AN APPOINTMENT

Appointment Request Form

If your pet needs immediate care

Emergency Vets

ASPCA

Contact Us

High Veterinary Housecall Services

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