URLThis field is for validation purposes and should be left unchanged.Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you! NameAre You a Current or New Client?* New Client Current Client Appointment Type House Call Appointment while we are parked at Comstock Community Center (located at 6330 King Hwy, Kalamazoo, MI 49048) Typically Mon/Fri Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your pet aggressive at the vet? Yes No If you are a new client/patient, when was your last vet exam?Phone*Email* Date* MM slash DD slash YYYY Pet Name*Age*Breed*What medications is your pet currently taking/please include heartworm preventative and flea/tick controlNature of Visit
