Request Appointment

If you would like to request an appointment at our hospital, please fill out and submit the form below, or call us at (734) 973-9090 . Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment. If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at (734) 973-9090 and DO NOT use the form below.

Please be advised, we are currently booking appointments 4-6 weeks in the future.

Your Name*
First Last
Pet's Name*
Email*
Phone*
Requested Appointment Date*
MM slash DD slash YYYY
Requested Appointment Date*
MM slash DD slash YYYY
Requested Appointment Date*
MM slash DD slash YYYY
Reason for Appointment*
Name
This field is for validation purposes and should be left unchanged.

Request Appointment

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