Appointment

To request an appointment, please fill out one of the two forms found below. These appointment requests are for NON-EMERGENCY appointments only. If this is an emergency please call us at 735-1656 or after hours please call the Fox Valley Animal Referral Center at 993-9193

Are you a new client or current client?

New Client Current Client 

Owner's Name:

Your First Name (required)

Your Last Name (required)

Pet Information:

Pet's Name (required)

Pet Species (required)

Pet's Age (required)

Pet's Breed (required)

Address:

Your Street Address (required)

Your City (required)

Your State (required)

Your Zip/Postal Code (required)

Email Address:

Your Email (required)

Phone:

Your Phone Type

Your Phone number (required)

Alternate Phone:

Your Phone Type

Your Phone number

Appointment Information

Reason for Appointment: (required)

Preferred Date and Time (1st choice): (required)

Preferred Date and Time (2ndchoice): (optional)

Preferred Date and Time (3rd choice): (optional)

Preferred Date and Time (4th choice): (optional)