Request an Appointment

Appointment Request

In an emergency, call the hosptial immediately! Click here for emergency instructions. For non-urgent appointments, please feel free to call or to use the email form below. We will contact you within 2 business days to confirm your appointment time.

Of course, you may call us at (304) 292-0126 to schedule your appointment.

New Clients: Please complete our New Client Registration e-form to request an appointment.

Current Clients: Please complete the form below to request an appointment.

If this pet has never been seen at AMC, you may also complete the New Pet Registration to provide us with a few more details about this pet, or you may just answer the few additional questions when we contact you to confirm your appointment.

Form - Appointment Request

Name (required)
First Name (required)	Last Name (required)

Address
Street Address


City	State/Province	Zip/Postal Code
,

E-Mail Address :

Preferred Phone Number (required)
Phone Type	Phone Number (required)

Phone
Phone Type	Phone Number

Phone
Phone Type	Phone Number

Your Pet

Pet's Name (required)

Pet Species
(Select One)
dog
cat
other

If "other" species, what species? (e.g., gerbil, african grey parrot, etc.)

Has your pet been seen at AMC within the past two years? (required)
(Select One)
Yes
No
I don't know

Please tell us the reason for your pet's visit: (required)

What appointment time(s) or day(s) work best for you?

Additional comments or requests

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