First Name
Last Name
Pet's Name
Home Phone
Other Phone
Email
Preferred Appointment Day
Preferred Doctor
Preferred Time
AM
PM
Reason for Visit
NOTE: While we will do our best to accommodate you, we cannot guarantee that the day and time you choose is available.  A member of our team will call  you to confirm the day and time of your appointment.
*Note:  If you are experiencing difficulties submitting this form, please email your request to jfebel@svh.ca Be sure to include your pet's first and last name; the day and time that you would prefer and the doctor you wish to see