Emergency Check-In Form

Our vet clinic offers round-the-clock pet emergency care for your pets without appointments. We function as a triage-based ER, prioritizing the most critical patients for immediate attention rather than adhering strictly to the order of arrival. Completing this form and calling our hospital ahead of time helps us prepare, especially during busy times.

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Emergency Check-In Form

Please complete this form and call our hospital. A member of our team will provide instructions over the phone.

We understand bringing your pet to the emergency room is stressful. Please complete this form with as much detail as possible. Details will help us provide the best care for your pet. Your completed form will be sent directly to our emergency team for review and further triage.

CLIENT INFORMATION

Client Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Secondary Client Name

First

Last

Secondary Phone

Secondary Email

PATIENT INFORMATION

Pet Name *

Date of Birth *

Gender *

Male
Male (Neutered)
Female
Female (Spayed)

Species/Breed *

Please let us know what type of pet you have (Dog, Cat, Other) and their breed, if possible. This helps us better prepare for your arrival.

Pet Colour *

Pet's Diet *

Food brand and type (kibble, wet, raw)

What is your emergency? *

This helps us prepare for your arrival

Current/Relevant History & Medication *

PRIMARY CARE HOSPITAL INFORMATION

My Vet Hospital *

Do you have pet insurance?

Request An Appointment

Emergency

Emergency Check-In Form

Emergency Check-In Form

CLIENT INFORMATION

PATIENT INFORMATION

PRIMARY CARE HOSPITAL INFORMATION

Ready to Visit?

Address

Contact Details

Hours of Operation

How Can We Help You?

24-Hour Emergency Care for your Furry Family Member

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