Rescue Appointment Request

Legacy Humane Vet Clinic Rescue Appointment Request

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Rescue Information

Appointment Request Information(Required)
Requestor's Name(Required)
Email (if different than email on file for rescue)

Pet Information

Animal Name(Required)
Animal Name
Species (Dog/Cat/Other)
Breed
Color
Male/Female or Unknown
Spayed/Neutered or Intact
Age (Estimate if unknown)
 
Please upload any prior records you have for the pet(s).
Drop files here or
Max. file size: 50 MB.

    Requested Appointment Information

    Appointment Type(Required)
    Services Requested(Required)
    Preferred Appointment Day(Required)
    Exams are first come, first serve between 9am-12pm, Monday through Friday. Drop off for dentals or surgeries is 8-8:30am and the latest pick up is by 4:30pm. Dentals are only offered on Monday, Tuesday, or Wednesday.
    Please make sure the date occurs on the day of the week chosen above.
    MM slash DD slash YYYY
    Please list any additional services or information about the appointment you are requesting below.

    Appointments

    We are a nonprofit clinic with a mission to ensure every pet owner has access to spay/neuter services and preventive care for their pets.

    Veterinary Pet Services & Pricing

    LHVC services include low cost spay/neuter, heartworm prevention/treatment, routine vaccinations, wellness visits and much more.