Cornell AH - Appointment Request

Appointment Request

Thank you for using the online appointment request form. A receptionist will contact you by phone by the end of the next business day to confirm your request and verify the appointment date and time.

For immediate service, emergencies or critical health concerns during clinic hours, please call the clinic directly at 519-763-1082.

IF YOU ARE A NEW CLIENT: Please fill in your address and provide us with some information about your pet(s) such as breed, age and sex. This will help us build a new client file for you.

Are you a new client?*

YesNo

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Email*

example@example.com

Phone Number*

Pet's Name*

Pet's Breed, Age, Sex*

Preferred Veterinarian*

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*