Heartworm Treatment Request

"*" indicates required fields

Address*
Service(s) Needed*
Would you prefer to be contacted via phone or email to schedule your appointment?*
For the pet's profile.
Max. file size: 10 MB.
Pet's Sex*
Already spayed or neutered?*
For surgery appointments, your pet will be weighed at the time of surgery. If your pet falls into a larger weight range at the time of surgery, you will be notified before pick-up and will owe the balance at the time of pickup.
If you are filling out this form for medical assistance other than a routine spay/neuter for your pet, please explain in detail the pet's medical need here. If 'none' then please indicate none.
Is your pet current on his/her rabies vaccination?
If you answer No, an additional $10 fee will be charged for rabies vaccination unless you can show proof of rabies vaccination at your scheduled spay/neuter appointment.
Drop files here or
Max. file size: 50 MB.
    Additional Dog Services, please select any services you would like to add

    Heartworm Prevention

    Over 200,000 dogs are infected with heartworms each year. Heartworms are spread by mosquitos, and every dog whether indoor or outdoor is at risk if not protected by a monthly heartworm prevention. Without treatment, a heartworm positive dog will die of this disease. Dogs under 7 months of age do not require a heartworm test to purchase heartworm prevention from LHVC during your visit, but dogs 7 months of age and older will require a heartworm test before purchasing heartworm prevention.
    Heartworm Purchase*
    All promotions/discounts will be applied when your appointment is confirmed.

    Required Deposit Upon Submitting Form

    On the following page, you'll be prompted to pay at least a $50 deposit to secure your appointment. The $50 will be deducted from your grand total at the time of your appointment. If we are unable to accommodate your pet's needs, the $50 deposit will be refunded to you.

    * By hitting submit, you will be able complete the payment of your deposit.

    Preferred Appointment Day*
    NOTE: Heartworm treatment appointments are only completed on Monday and Tuesdays.
    Please make sure the date occurs on the day of the week chosen above.
    MM slash DD slash YYYY
    This field is for validation purposes and should be left unchanged.