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If you have an emergency or need urgent care for your pet, please do not use this form. Instead, call 651-501-3766. This form is only used for requesting appointments for specialty services. Thank you.
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1
Which specialty service would you like an appointment with?
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Avian & Exotics Medicine
Dentist & Oral Surgery
Cardiology
Dermatology
Internal Medicine
Neurology
Oncolgy (Referral required from rDVM with a confirmed diagnosis to schedule an appointment)
Surgery
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2
Please provide a brief description of the reason you are seeking specialty care.
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3
Did your primary veterinarian refer you to make an appointment with us?
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YES
NO
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4
Which primary care veterinary clinic do you use for your pet?
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5
What is your pet's name?
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6
What species is your pet?
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Dog
Cat
Bird
Small Mammal
Reptile
Other
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7
Your name
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First Name
Last Name
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8
Your email
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example@example.com
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9
Phone Number
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10
Please verify that you are human
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