Bionic Pets Appointment

Bionic Pets Appointment
Thanks for your interest in scheduling an appointment with us! Just a quick reminder that payment is due in full at the time of the appointment unless previously discussed with Derrick. All appointments are in person on EST at our Sterling office located at:

43671 Trade Center Place, Suite 148

Sterling, VA, 20166

If you need to cancel please email a day in advance. Thank you and see you soon!
Are you a New or Existing Client?*
Owner Name*

First NameLast Name
Pet*

NameBreed/ Age
Is your pet is up to date on their rabies vaccine (dogs/cats only).*

YesNoI'm not bringing a dog or cat
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What type of appointment are you making?*

Consult Appointment - $100Casting Appointment - $100Other/ unsure
What type of appointment are you making?*

Casting Appointment - the same pet for a second or different deviceFitting Appointment - you're bringing your pet in to be fitted with the device for the first timeAdjustment - your current device needs adjustments to ensure proper fitRefurbishment - your current device needs repairsOther/ unsure
Bionic Pets Appointment*
Type of Prosthetic/Orthotic*

Stifle Brace (knee)Partial Prosthetic (missing lower part of the leg/ paw)Full Limb Prosthetic (missing entire front leg)Tarsal Brace (back ankle/ paw)Carpal Brace (front wrist/ paw)Custom CartAble-Bodied Prosthetic (for a deformed limb)HelmetStill unsureOther
Please provide a short background with any pertinent information on your pet's injury and medical history that is bringing you here today. If your pet is anxious or aggressive around other animals and/or being handled by new people, please address this below.
*If your dog requires a muzzle around strangers or at the vet, please bring it with you!*
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