Appointments Name* First Last Phone*Email* Current Client or New Client? (New clients, due to limited availability we require a $50 booking fee per patient that will be collected upon scheduling. This fee will be applied to your appointment. This fee is non-refundable should you change or cancel with less than 24 hours notice.)* Current Client New ClientIf Current Client, have we seen the patient before?* Yes NoPet's Name*Reason for Appointment - (We are closed on Saturdays and Sundays. Routine appointments are currently being booked 3 weeks in advance.)*Preferred Date #1 MM slash DD slash YYYY Preferred TimeMorningMid-Day (11-2pm)Late AfternoonPreferred Date #2 MM slash DD slash YYYY Preferred TimeMorningMid-Day (11-2pm)Late AfternoonPreferred Date #3 MM slash DD slash YYYY Preferred TimeMorningMid-Day (11-2pm)Late AfternoonCommentsThis field is for validation purposes and should be left unchanged.Please proceed here after submission if you are a New Client or a if we haven’t seen the patient before
