Request Appointment Form in Albany, OR - Rivers Edge Pet Medical Center

**IF YOU HAVE AN EMERGENCY, PLEASE CALL INTO THE CLINIC AT 541-924-1700**

Please note that if you have a regular veterinarian we are unable to do routine care (vaccines, spay/neuter, routine dental, etc.) without approval from management. If you have a regular vet and would like to switch to us for routine care or have questions about our policies we ask that you give us a call at 541-924-1700.

Daytime appointment hours are Monday-Friday 7:30am-10am and 1pm-5pm as well as Saturday 8am-12pm. All other hours are emergency. If you would like to schedule an appointment during emergency hours, please call in and speak to our reception staff.

Your Name*

First Last

Today's Date

Have you been here before?

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No

Do you have a regular vet?*

Yes
No

If so, which vet?*

Pet's Name*

Date of Birth or Age*

Species*

Breed*

Summary of reason for visit*

Does your pet have any previous medical history or medications?*

Best dates and times for appointment

Email*

Phone*

What is your preferred method of contact*

Phone
Email

What is the best time to call?*

Alternate Phone

Comments

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