Wellness Appointment Request
Thank you for your interest in booking an appointment at the Paws Humane Society Veterinary Clinic.
Complete this form so we may schedule an appointment for your pet.
**Please allow 24-48 hours for Paws to contact you confirming your request.**
First & Last Name
City, State, Zip
Preferred method of contact for your appointment confirmation
Have you used our vet clinic before?
Prefer not to say
Age (Approximate OK)
Has this pet been seen by our vet before?
Please select days and time frames that you are available. Someone from our clinic will contact you to confirm your appointment time.
Select the day(s) you are available.
Select the time(s) you are available for an appointment.
Please select the wellness service(s) your pet needs during the appointment.
Annual Exam and/or Adult vaccine boosters
Heartworm test (dogs) / FeLV/FIV test (cats)
1st puppy or kitten visit
2nd puppy or kitten visit
Please select any problems your pet is experiencing.
Skin Concerns (itching, redness, hair loss, etc)
Ear Concerns (odor, head shaking, redness, etc)
Intestinal Concerns (vomiting, diarrhea, lack of appetite, etc)
Additional Information / Comments
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This form was created inside of PAWS Humane.