We are happy to book an appointment for you. This is not an automatic process. Once we receive your request, we will contact you to confirm a date and time that is as close to your request as possible.

This form should only be used for requesting appointments that will take place at least two full business days after the time of the submission of this form.

If your appointment has not been confirmed within 24 hours, please feel free to contact the practice by phone to confirm.

If your pet is experiencing any signs of illness or injury, please contact us immediately at 603-624-4378 for the first available appointment.

For routine wellness visits such as vaccines, rechecks and routine lab work, please fill out the form below.

* Is this your first visit to our Animal Hospital? Yes    No
* Has this pet been to our Animal Hospital? Yes    No

Contact Information:

* First Name:
* Last Name:
* Email Address:
* Primary Contact Number:
Secondary Contact Number:

Patient Information:

Your Pet's Name: * Breed:
Date of Birth: Color:
Sex: Species:

Appointment Preferences:

Please select both a first choice and an alternate date and include your preference for the time of the appointment:

* Enter Preferred Date and Time:
e.g. Thur July 27

e.g. 1:30 PM
* Enter Alternate Date and Time:
e.g. Thur July 27

e.g. 1:30 PM

Veterinarian Preference:

Please note below if you wish to request a specific veterinarian, and we will try to accommodate your request subject to availability:

Doctor's Name:

Please list any additional needs pertaining to your appointment:

We will confirm your request by phone within 1 business day. Thank you for giving us the opportunity to care for your pet!

* Denotes required field.