Leaside AC - Appointment Request

Appointment Request

We are happy to book an appointment for you. This is not an automatic process. Once we receive your request, we will contact you to confirm a date and time that is as close to your request as possible.

This form should only be used for requesting appointments that will take place at least 2 full business days after the time of the submission of this form.

If your appointment has not been confirmed within 24 hours, please feel free to contact the practice by phone to confirm.

Please note: We are booking approximately 3 weeks out for yearly appointments. Please call for all urgent appointments. Reply to this form may take up to 48 hours for a call back.

Your Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Pet's Name*

Preferred Appointment Date & Time*

**Please note that your selected appointment date and time is not confirmed and is subject to availability. Our team will reach out to you once your request is received.

Reason for appointment:

CAPTCHA*