Make an Appointment

Please call 555-5555 to book a convenient appointment time or complete the following Appointment request form.

  • Name, Breed, Color, Age/DOB, Male/Female, Spayed/Neutered
  • Name, Breed, Color, Age/DOB, Male, Female, Spayed/Neutered
    I am aware that my pets medical records and vaccination history may need to be released at the discretion of the staff and doctors of Town and Country Animal Hospital
    By checking the box I hereby authorize the veterinarian to examine, prescribe for or treat the above patient(s). I assume responsibility for all charges incurred in the care of the animal. I also understand that these charges will be paid at the time of service and prior to the release of the patient. If a surgerical procedure is necessary a deposit may be required prior to any procedure.


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