New Clients- Please complete the form below to request an appointment. As a reminder, Roam Veterinary is NOT an emergency service and may not be able to accommodate same day appointment requests. Thank you!

Established/current clients, send us an email at info@roamvet.net or text us at (838) 280-5574 to request an appointment.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name of Pet

Age of Pet

Breed of Pet

Sex of Pet

Neutered Male

Male

Spayed Female

Female

Reason for Appointment

For example: "I am worried my pet has an ear infection" or "I would like to get established and get up to date on vaccines."

Please list any behavior or temperament concerns we should be aware of.

Are you requesting an appointment for multiple pets on the same day? If "yes", we will get their information when we reach out to schedule.

Yes

Please list your pets previous Veterinary Hospital so we can obtain their medical records. *Records are required prior to your pets first appointment*

New Clients- Please complete the form below to request an appointment. As a reminder, Roam Veterinary is NOT an emergency service and may not be able to accommodate same day appointment requests. Thank you!

Roam Veterinary, PLLC