Request Appointment Form **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?YesNoDo you have a regular vet?*YesNoIf 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 appointmentEmail* Phone*What is your preferred method of contact*PhoneEmailWhat is the best time to call?*Alternate PhoneCAPTCHAEmailThis field is for validation purposes and should be left unchanged.