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Appointment Request – New Clients

Emergencies or sick visits please call our office to make an appointment!

PLEASE READ BEFORE ADVANCING TO APPOINTMENT REQUEST:

At this time, our earliest available appointments may be several days out. Please allow 72 hours for a staff member to contact you to confirm your appointment date and time. Your appointment request is not complete until an AHS staff member contacts you to confirm day and time.

Your scheduled appointment time will be reserved specifically for you. We request a 24-hour notice if you need to cancel your appointment. After missing your second appointment without notifying us 24 hours in advance, you are subject to being charged an additional fee.

Appointment Hours:
Mon-Friday 7:30 a.m. to 5:30 p.m.
Saturday & Sunday 8 a.m to 1:30 p.m.

REQUEST APPOINTMENT:

Please fill out all fields completely.

Owner Information

Your name:
Title
Address
Spouse's Name
How did you hear about us?

1st Pet Information

Sex
Is pet spayed or neutered?

2nd Pet Information

Sex
Is pet spayed or neutered?

3rd Pet Information

Sex
Is pet spayed or neutered?

Appointment Hours:
Mon-Friday 7:30 a.m. to 5:30 p.m.
Saturday & Sunday 8 a.m to 1:30 p.m.

Day of the Week Preferred - May choose more than one
Reason for pet’s visit:

Previous Veterinarian Information

I hereby authorize Animal Hospital of Statesville to request records from my previous vet for my pet(s).

I assume responsibility for all charges incurred in the care of this animal.  I also understand that charges must be paid in full at the time services are rendered.

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