Request an Appointment at Partners and Paws Veterinary Service Appointment Request Are you a New Client? * Yes No Name * Name First First Last Last Email * Phone * Secondary Phone Pet's Name * Species (dog, cat, etc.) * Breed * Color * Age/Date of Birth * Sex * Male Neutered Male Female Spayed Female Does your pet have a microchip identification? * Yes No Does your pet have insurance? If so, who is their provider? * Appointment Type - Please Select -Wellness ExamsPreventative CareDental CareSurgeryDiagnosticsComprehensive Medical WorkupsDermatologyGroomingAnesthesia and Patient MonitoringEmergency ServicesOther Appointment Type Additional Details/Explanation Do you have a second pet? * Yes No How did you find out about our hospital? If you were referred by someone, who should we thank? Preferred Day for Appointment * Preferred Time for Appointment * AM PM Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) Signing the client consent and estimate form, and 2) Regarding surgical procedures and specialized treatments, we reserve the right to ask for a 50% deposit upon booking. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. * I have read and accept the financial policy. Submit If you are human, leave this field blank.
