Appointment Request  E-form

In an emergency, call the hospital immediately!   For non-urgent appointments, please feel free to call or to use the email form below. We will contact you within 1 business day to confirm your appointment time.

Of course, you may call us at (262) 652-4266 at any time, to schedule your appointment if you prefer.

New Clients: Please, also, complete our New Patient Information online or download form.


Before your appointment check out our Preparing Your Pet For An Appointment page for tips.

Form - Appointment Request Form

Name (required)
First Name (required)
Last Name (required)
Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
Patient Name (required)

Species (required)
Dog
Cat
Other

If species is "Other", please list here:

Have we seen this pet within the past year? (required)
Yes
No
Unknown

Which days or times work best for you? Please include 3 preferences (required)

Please tell us the reason for this visit: (required)

Additional comments or requests?

Should we contact you by phone or email to confirm this appointment? (required)
Phone
Email


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