Information Request Form

Name*

First NameLast Name

E-mail*

example@example.com

Where are you located? If you are unsure, use google maps to see the distance between your address and Olds, Alberta.*

Within the Town of Olds Corporate LimitsLess than 20km from the Town of Olds (Didsbury, Bowden, Netook, etc.)20-50km from the Town of Olds (Innisfail, Carstairs, Sundre, Penhold, Torrington, etc.)50-80km from the Town of Olds (North Calgary, Red Deer, Sylvan Lake, Cochrane, Bearspaw, Cremona, Trochu, Three Hills, etc.)More than 80km from the Town of Olds (South Calgary, Drumheller, Rocky Mountain House, Canmore, etc.)

What are you requesting pricing for?*

In-home EuthanasiaAcupuncture/Integrative Medicine (accepting waitlist applications)

Additional booking information

For home-euthanasia booking requests, please visit:
https://snowshoevet.as.me/IHE

For acupuncture inquiries, please fill out our new client application/waitlist:
https://forms.gle/kvojRfBrG3E73dzt8

Pricing Request Form