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Request an Appointment
Emergency

Request An Appointment

Emergency

Telemedicine
Intake Form

Complete your telemedicine intake form to Eagleson Veterinary Clinic.

Get Started

Telemedicine Intake Form

Please fill out this form as completely and accurately as possible so we can best streamline the process.
Please note that a fee applies to all telemedicine appointments.

Telemedicine Disclaimer
Please note that this telemedicine service is intended to provide general veterinary advice, guidance, and support based on the information you provide. Depending on your pet’s symptoms, condition, or the limitations of virtual assessment, we may recommend an in-person examination at a veterinary clinic for a more accurate diagnosis or appropriate treatment. Telemedicine is not a substitute for hands-on care when it is necessary. If your pet is experiencing a medical emergency, please call us at 613-383-8381 or visit us at 58-500 Eagleson Road immediately.


CLIENT INFORMATION:

PATIENT INFORMATION:

REASON FOR APPOINTMENT:

PRESENTING CONCERN:

BEHAVIOR AND GENERAL HEALTH:

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