Request an Appointment 1 Your Information (*) Indicates Required Field Please Select:(Required) New Client Existing Client How did you hear about us?Select OneGoogle searchFacebookEventReferral of veterinary hospitalWord of mouthOtherWho referred you? First Name(Required) Last Name(Required) Co-owner first name Co-owner last name Phone(Required)Alternative PhoneEmail(Required) We service the cities pinned within the radius on the map below Which city are you located in?(Required) Thomaston Bristol Watertown Wolcott Southington Waterbury Prospect Chesire Middlebury Naugatuck Your Address(Required) Street Address Address Line 2 State / Province / Region ZIP / Postal Code We do not provide services to areas outside of the above. If you'd like to continue requesting an appointment, we'll likely provide you with a referral.Number of pets123456+Pet's Name(Required) Type of pet(Required)DogCatBirdFerretGuinea PigRabbitOther Exotic AnimalPet's Breed(Required) Pet's Age(Required)Pet's Color(Required) Pet's Sex(Required) Spayed or neutered?(Required) Yes No Pet 2's Name(Required) Pet 2 Type(Required)DogCatBirdFerretGuinea PigRabbitOther Exotic AnimalPet 2's Breed(Required) Pet 2's Age(Required)Pet 2's Color(Required) Pet 2's Sex(Required) Pet 2 Spayed or neutered?(Required) Yes No Pet 3's Name(Required) Pet 3 Type(Required)DogCatBirdFerretGuinea PigRabbitOther Exotic AnimalPet 3's Breed(Required) Pet 3's Age(Required)Pet 3's Color(Required) Pet 3's Sex(Required) Pet 3 Spayed or neutered?(Required) Yes No Pet 4's Name(Required) Pet 4 Type(Required)DogCatBirdFerretGuinea PigRabbitOther Exotic AnimalPet 4's Breed(Required) Pet 4's Age(Required)Pet 4's Color(Required) Pet 4's Sex(Required) Pet 4 Spayed or neutered?(Required) Yes No Pet 5's Name(Required) Pet 5 Type(Required)DogCatBirdFerretGuinea PigRabbitOther Exotic AnimalPet 5's Breed(Required) Pet 5's Age(Required)Pet 5's Color(Required) Pet 5's Sex(Required) Pet 5 Spayed or neutered?(Required) Yes No Pet 6's Name(Required) Pet 6 Type(Required)DogCatBirdFerretGuinea PigRabbitOther Exotic AnimalPet 6's Breed(Required) Pet 6's Age(Required)Pet 6's Color(Required) Pet 6's Sex(Required) Pet 6 Spayed or neutered?(Required) Yes No Name of former veterinary practice May we request a copy of your pet's records? Yes No What is the reason for your appointment?(Required) Healthy Visit Sick Visit Symptoms Abnormal lumps or bumps Coughing Sneezing Diarhea or soft stool Constipation Limping Change in behavior Discharge Scratching or itchy Other "Other" SymptomsIs there anything we should know about your pet's health or anything you'd like to discuss?Please describe your pet's symptoms, when they began and anything else we should know. 2 Appointment Details Call 203-755-7201 for Urgent Same-Day Appointments or EmergenciesPlease allow a 48 hour response time. If this is an emergency, or your pet is in pain or injured, or you need an appointment today please call our office. We are not open on Saturdays and Sundays1st Choice Appointment Date(Required) MM slash DD slash YYYY Time Preference Morning Afternoon 2nd Choice Appointment Date(Required) MM slash DD slash YYYY Time Preference 2 Morning Afternoon Any additional comments, questions or concerns?NumberCAPTCHA Δ
