Appointment Request Form

After submitting this form, we will contact you within one business day to schedule your pet's appointment.

Your Name*

First NameLast Name

Email address*

Your Pet’s Name*

Phone Number*

Area CodePhone Number

How would you prefer to be contacted?

EmailPhoneAny of the above

Florida Veterinary Behavior Service has 4 doctors and 2 locations. Appointment availability depends on location and doctor.

The cost for an assessment appointment is $450.00. Additional costs which could be incurred at the assessment appointment include recommended diagnostic tests, medications and/ or supplements.

Please select all locations which may work for you.

West Palm BeachCoral SpringsFirst available (any location)

Please select the doctor that you would like to see your pet.

Dr. Ang (Coral Springs, West Palm Beach)Dr. Colareta (Coral Springs)Dr. Grier (Coral Springs)Dr. Radosta (Coral Springs, West Palm Beach) *limited availabilityFirst available doctor at my preferred location(s) selected above.

Are you seeking help for a pet who is aggressive toward another pet in the household?

YesNo

Please briefly tell us some details about your pet, and reason for scheduling with us.