Request an Appointment

Appointments are made by referral from your primary DVM. If you are interested in a consult, please leave your information and our Referral Coordinator can assist with the referral process. You may also use this form to schedule follow-up appointments for your pets that have already been seen here.

Full Name *

First Name Last Name

Pet's Name *

Has your pet seen us before? *

Yes No

At this time we only offer morning appointments as our specialists perform procedures in the afternoon.

Preferred Date *

Month Day Year

Second Preferred Date *

Month Day Year

Note that PM appointments are available with Dr. Clarke in Neurology ONLY.

Preferred Time

: Hour Minutes AM/PM Option

Second Preferred Time

: Hour Minutes AM/PM Option

E-mail *

Phone Number *

Area Code Phone Number

Type of Appointment *

Preferred Veterinarian

Referring Veterinarian *

Contact *

Additional Comments

Preferred Method of Contact *

Phone E-mail

If your pet is not doing well, please give us a call at (804)784-8722 so that we may faciliate having him or her seen sooner.