Surgery Request Form

Fill out the form below to reserve your space in upcoming clinics.

Important Information

  1. Appointment Confirmation: Once you submit the form, we will reach out to you to confirm your pet’s appointment date. Phone call back will not be immediate but most likely come from 315-651-8244. You will NOT be given more than 2 callbacks
  2. Limited Availability: Please note that we have a maximum of 70 slots available each month, so book in advance to secure your spot.
  3. Additional Fees: Be aware that there might be extra charges depending on your pet’s specific needs.
  4. Dog Size Requirement: Dogs scheduled for surgery must weigh under 40 lbs.
  5. Payment Precondition: To guarantee your appointment, all surgeries must be prepaid. Failure to do so will result in appointment cancellation.
  6. Payment Method: Please note that we accept cash only.

7. Rabies: Note that you must also fill out the rabies form if your pet is not up to date or never had a rabies shot

Thank you for choosing our services, and we look forward to caring for your beloved pet.

    * Indicates Required Field

    Your Info









    Pet Info




    Example: 3 ½ years, enter "3.5"



    MaleFemaleUnknown


    DogCat


    History




    YesNo


    YesNo




    YesNo



    Procedure

    Please select any procedures, vaccines, or tests that you would like performed on your pet.

    Procedure(s)

    Vaccine(s)

    Vaccine

    Species

    Description

    Canine

    The DHPP 5-in-1 vaccine is a single injection that includes protection against 5 very serious dog diseases.

    All

    Rotavirus Vaccination (Rabies)
    You must complete the Rabies Cert. Request Form after pressing Submit.

    Feline

    FVRCP (Feline Viral Rhinotracheitis, Calicivirus, Panleukopenia) This is a combination vaccine that protects cats against feline viral rhinotracheitis (feline herpes), calicivirus, and feline panleukopenia (feline distemper).

    Test(s)


    Comments or Questions