Phone: Quality of Life Consult Request
(This appointment will take place over the phone)
Full Owner's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number that can receive text messages.
Format: (000) 000-0000.
Email Address
*
example@example.com
Please confirm that the above phone number can receive text messages.
*
Yes
No (please change the number to one that can receive text messages)
By checking, you are allowing Paws of Serenity LLC to send you informational texts and reminders about appointments and your pet's care. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt-out.
*
Yes
No
By checking, you accept Paws of Serenity's Terms of Service & Privacy Policy. (direct link below)
*
Yes
No
Terms, Conditions & Privacy Policy
Pet's Name
*
This is for a single pet only, a separate form must be filled out for a second pet.
Species
*
canine or feline
Pet's Breed
*
Pet's Age
*
Pet's Gender
*
Please Select
male intact
male neutered
female intact
female spayed
Pet's Weight (ok to estimate)
*
Is your pet up to date on Rabies vaccine (Paws of Serenity DOES see pets that are NOT up to date on Rabies vaccine?
*
Yes
No
Information for appointment
Day and time you would prefer to schedule:
*
Concerns about your pet that initiated you making this appointment:
*
What is your primary veterinary clinic?
*
For records request
Is there another owner's name that your pet might be under at their veterinary clinic?
First Name
Last Name
Alternate phone number for additional owner:
Please enter a valid phone number.
Format: (000) 000-0000.
What happens next?
Once Paws of Serenity has received this form you will receive a text message to set up an appointment and receive an estimate - this estimate will be honored for 60 days. You will receive a link via text or an invoice will be emailed to you the day before or the day of your appointment. Payment is due at the beginning of the appointment. Paws of Serenity accepts payment via card through Cherry or Square and can also accept Cherry payment plans, cash or Venmo. Please text 701-353-0937 or email pawsofserenityvet@gmail.com with any questions or concerns.
Submit
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