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RESERVATIONS & SIGN-UPS:
• Pricing & Policies
• Boarding Reservation
• Training Class Registration
• Grooming Appointment
• Veterinary Care Appointment
• V.I.P. E-Newsletter Sign-Up
• Contact Us

 
 
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Home > Reservations & Sign-Ups > Veterinary Appointment Request
 

Dog Veterinary PhotoVeterinary Care Appointment Request
Please see our Veterinary Care page for information about our services. Then complete the form below and we will contact you with additional information.


* = required field

* Your Name
* Street Address
   City
   Zip
* Daytime Phone
   Evening Phone
   Cell Phone
   Email Address
       
Companion #1    
Dog
Cat 		Name Breed Age
       
Companion #2    
Dog
Cat 		Name Breed Age
       
Companion #3    
Dog
Cat 		Name Breed Age
   
Requested Veterinary
Care Date
Requested Veterinary
Care Time
   
Services requested (please check):
Surgical services, including spay & neuter
Healthy, Happy Checkup

Vaccinations and boosters
Heartworm test and prevention
Feline leukemia and FIV testing

Parasite evaluations
Behavioral pharmacology
X-rays
Medications
Teeth cleaning
B.A.E.R. congenital hearing defect test

Comments/Additional Information:
   

 

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© Canine Companions, Inc.
3409 S Walnut Street, Bloomington, IN 47401
Ph: 812-331-0665 | Contact via email
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