GP & Surgery - Current Patient Appt Request - Oxford Veterinary Hospital

Your First and Last Name:*

Your Pet's Name (Please, fill out a separate form for each pet):*

Phone number:*

Email Address:*

How would you like us to contact you:*

Phone Call
Text Message
Email

Is there a day of the week or time of day that you prefer for the appointment? Please select all if there is not a preference.*

Select All
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Mornings
Afternoons

Is there a specific date(s) that you prefer? (ie, Dec 3-15, 2027)

What is the reason for the visit?*

Select All
Annual wellness exam
Vaccination
Heartworm or tick test
Illness or health concern
Dental procedure or cleaning
Surgery or other procedure

Please select all that apply. We will contact you within one business day to schedule your appointment. If your pet needs to be seen urgently, please call to schedule instead of filling out this form.

If your pet is experiencing any of the following symptoms, please check all that apply:

If you checked any of the symptoms above, please provide more detail (how long, frequency, location, etc):

Please list all medications your pet is currently receiving. Please include all prescriptions, flea/tick/heartworm preventatives, over the counter medications, and vitamins and supplements. Write none if no medications are administered.*

For example: amlodipine 2.5mg tab - 1/4 tab once daily, Simparica trio once monthly year round

What is your pet's current diet? Brand, flavor of food, dry or canned? How much do they eat each meal and how often? Any treats or snacks and how much?*

Is there anything else you would like us to know?

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GP & Surgery – Current Patient Appt Request

General Practice & Surgery - Current Patient Appointment Request

After the online form is submitted, we will reach out to you within one business day to schedule the appointment.