Request for Surgical Booking Call

Please fill out the short form below and our surgical coordinator will give you a call within 3-5 days to book the surgery.
Are you a current client at West Loop Veterinary Care (Pet has had an exam within the last calendar year)?

YesNo
Thanks for visiting this page and for your interest in West Loop Veterinary Care. The steps to a surgical booking are simple:
1. Complete your first exam with a doctor at WLVC. (We will reach out immediately after you submit this form with dates and times).
2. Complete pre-surgical bloodwork for your pet. We can gather a sample during your first visit.
3. Book your procedure with one of our doctors within 60 days of your bloodwork.
We look forward to seeing you soon.
What procedure does your pet need?*

Spay or NeuterDental Assessment and TreatmentMass RemovalOther
When would you like this procedure performed?*

ASAP2 Weeks1 Month2 MonthsSometime in the next 6 monthsI’d like the surgical team’s advice on when to perform.Other
Where would you like this procedure performed
What's your pet's name?*
Cat or dog?*

CatDog
Male or Female?*

MaleFemale
Pet's Breed?
Pet's Date of Birth or Approximate Age?
Pet's Color?
Your Name
First Name*
Last Name*
Your Email*
Your Phone Number*
How would you like us to get back in touch with you?

Phone callTextEmail
Day of Week

MondayTuesdayWednesdayFridaySaturdaySunday
Time of Day

8AM - 12PM12PM - 4PM4PM - 8PMOther
Please verify that you are human*
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