Request an Appointment
Please note that this is an appointment request and NOT a direct appointment scheduler. To ensure that the appointment you are requesting is available, please wait for confirmation that your pet can be seen at the requested date and time before arriving.
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Address
*
City
*
Zip Code
*
Pet's name
*
This patient is a:
*
Dog
Cat
Breed
*
Sex:
*
Female
Male
Spayed Female
Neutered Male
Approximate Age (If you are sure, please write the exact birth date)
*
First Time Visit?
*
Yes
No
Select an a Preferred Appointment Date and Time. (Selected Date and Time may not be available)
Where has your pet been previously seen by a veterinarian?
*
Briefly describe why you are seeking veterinary care for your pet.
*
Please confirm the following statement - "I understand that this is not a booked appointment. I will wait for contact from a staff member at Tabernacle Animal Hospital to confirm that the appointment I have requested is available."
*
Yes, I have read and understand the above statement.
Should be Empty: