Appointment Request Form

Ready for a FREE second opinion?

Watching your loved one struggle with skin issues, recurrent ear infections, arthritis, or another chronic medical condition (even one that's yet to be diagnosed) can be incredibly frustrating. We're looking forward to helping them feel better.To make an appointment right away, feel free to call us at 561.625.6970. However, if you’d like to book your appointment via email or text, please answer the next few questions. We typically reply back within 24 hours (excluding weekends & holidays).
Are you Currently a Client?
Owner's Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Secondary Phone

Area CodePhone Number
Which Pet(s) are you Bringing to Us?*
Please list their name. If they're a new patient, please add species, breed, & age.
E-mail*
Address (only needed for new clients)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Our usual hours for appointments are:

Monday - Friday:

8:30am-12pm & 3pm-4:30pm
What days work best for you?

MondayTuesdayWednesdayThursdayFridayAny Day is Fine
What Type of Appointment Do You Prefer?

Convenient Drop-Off Visit. Schedule a time to drop them off & we'll give you a call after their exam, then let you know when they're ready to go home.Come inside for a traditional in-person visit.A scheduled curbside visit. Typically completed in approximately an hour for many types of visits. Clients may choose to drop off & run 1-2 very quick errands while we help their pet.I'd like the veterinarian to do a House Call & see my pet(s) in the comfort of my own home. (Available for most types of visits.)I'd like to utilize the Pet Taxi. (Trained staff will come to your home, pick up your pet(s), bring them back to the hospital for care, then safely return them back home. You can speak with the Dr. by phone or zoom if you'd like.
What time works best for you?

8:30am-10am10am-Noon.Between 3pm-4:30pm
Are there any more specific scheduling parameters you'd like us to accomodate?
If not, just leave this blank.
What’s your first choice for an appointment?

MonthDayYearHourMinutesAM/PM Option
What’s your secondary choice?

MonthDayYear
DateHourMinutesAM/PM Option
Please Tell us the Reason you’re Coming in to Visit Us:*

I Need a Second Opinion from Another VetYearly Vaccinations & TestingMy Pet is Having Ear IssuesMy Pet is Having Skin Issues or is scratching/licking pawsMy Pet has been Vomiting or having DiarrheaMy Pet needs a Toe Nail Trim, Bath, or their Anal Glands need to be ExpressedMy Pet is Having Urinary Issues or is Licking Their Private AreaI Think My Pet is Having an Allergic Reaction to SomethingMy Pet is Acting Oddly & I Want to Learn WhyI Think it May Be Time to Help my Pet to the Rainbow Bridge. (Euthanasia)My Pet’s Weight has Changed SignificantlyMy Pet is Coughing/SneezingMy Dog needs to be Groomed (Full Salon Treatments are only available on Weds.)Follow-Up VisitOther
While you're here, are there any meds, treats, or Rx food that you need to pick up?

Heartworm Preventative (Heartgard, Trifexis, Revolution, etc.Flea/Tick Preventative (NexGard, Trifexis, etc)Pet TreatsPill PocketsOther
Is there anything else you'd like to speak with the Dr. about while you're here?
Please Tell Us any other Relevant Details:
If this is your pet's first visit at Ibis Animal Hospital, please have their records emailed to us at Office@IbisAnimalHospital.com or faxed to us at 561.625.6971.
Would you Prefer that we reply via email or by telephone?

EmailTelephoneText
Should be Empty:

Ready for a FREE second opinion?