Make an Appointment with our Animal Clinic in Fairmont

We are happy to book an appointment for you. This is not an automatic process. Once we receive your request, we will contact you to confirm a date and time that is as close to your request as possible.

This form should only be used for requesting appointments that will take place at least 2 full business days after the time of the submission of this form.

If your appointment has not been confirmed within 24 hours, please feel free to contact the practice by phone to confirm.

Name*
First Last
Email*
Phone*
Pet Name*
Preferred Date*
Date Format: MM slash DD slash YYYY
Preferred Time*

: HH

MM
Reason for appointment*
Have you been to our clinic before? If not, we would like you to fill in some additional information.*
- No
- Yes
Address*
Street Address Address Line 2 City State ZIP Code
How did you find out about our practice?
- Clinic Location
- Personal Referral
- Internet Search / Website
- Yellow Pages
- Clinic Sign
- Newspaper / Print Media
If Personal Referral, is there someone we can thank for this referral?
Pet Species*
Pet Breed*
Pet Color*
Pet Age or Birthday
Pet Sex*

Request Appointment