New Companion Crossing Appointment Request

Companion Crossing

Appointment Request
Thank you for understanding that Dr. McClellan's schedule cannot currently accommodate new patients. If we have previously assisted your family or have recently discussed end-of-life care plans for your pet, please feel free to submit this request form and we will be in touch soon. Thank you🐾

Local in-home providers you can reach out to while we are unavailable: Madison County - Dr.Holt (256)333-2345; Dr.Gibbons (256)272-1188; Madison/Limestone County - Dr.Lorge (256)203-3794; Cullman/Limestone County - Dr. Kessler (256)841-8231; Marshall/Cullman County - Dr.Harney (256)684-8559
Please complete the form below to request an appointment. Dr. McClellan will contact you to discuss availability and confirm an appointment date and time.
We understand the urgency of your family’s needs and Dr. McClellan will follow up with you at her earliest opportunity. Thank you for understanding that same-day visits are very limited in availability. If you submit this form after 5pm, Dr. McClellan will contact you the following morning after 8am. You may also contact us by phone/text at 256-808-5205 before 6pm. If you feel your pet is experiencing an emergency, please contact your nearest emergency clinic.*

I have read and understand.
Please Select the Service Requested*

In-Home Euthanasia VisitTeleAdvice Quality of Life Phone Consultation
Your Name*

FirstLast
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
****Please provide if you would like a confirmation copy of this form.
Have we assisted your family before?*

YesWe are new to your service.
Pet’s name*
Species*

DogCat
Pet’s approximate age*
Pet’s approximate weight*
Breed*
Has your pet been seen by a veterinarian within the past six months? If so, please provide the clinic name.
Please tell us about your pet and what brought you to seek our services.
Please share a few preferred dates and times for our Visit/Consultation. Thank you for understanding that requested times may not be available.
I prefer to be contacted by*

Text message(This is often the fastest way to receive a response)Phone callEmail(Please be sure to check your SPAM folder for responses)
Should be Empty:

Companion Crossing

Thank you for understanding that Dr. McClellan's schedule cannot currently accommodate new patients. If we have previously assisted your family or have recently discussed end-of-life care plans for your pet, please feel free to submit this request form and we will be in touch soon. Thank you🐾