Please complete this appointment request form. It is important to note that you do not have an appointment until you receive confirmation from us. Only use this form if you are requesting a non-urgent appointment. If your pet is experiencing an emergency, call us at (405) 701-9000 or contact one of our recommended after hours emergency facilities.

Appointment Request
Are you a New Client?
Preferred Time for Appointment
Owner Name
Owner Name
First
Last
Additional Contact Name
Additional Contact Name
First
Last
Address
Address
City
State/Province
Zip/Postal
(dog, cat, etc.)

Maximum file size: 52.43MB

Maximum file size: 52.43MB

I hereby authorize the veterinarian to examine, prescribe, and/or treat the described pet. I assume full responsibility for all charges incurred for the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment.

By signing below, I agree to the above.

Name
Name
First
Last