Online Appointment Scheduler

Use this form to schedule your next appointment with the skilled staff at Western Veterinary Clinic. Do not use this form if this is an emergency. Please call us at (574) 234-3098 if this is an emergency .

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Which day of the week works best for your schedule? *

Monday (8a-6p)
Tuesday (8a-7p)
Wednesday (8a-6p)
Thursday (8a-6p)
Friday (8a-6p)
Saturday (8a-1p)

What time block do you prefer? *

Morning Afternoon

Your Pet(s) Name *

Pet Species

Dog Cat Horse Bird Reptile Other

Why will we be seeing your pet?
(for example: vaccines, check ears, etc. If this is a grooming appointment or for boarding, please specify that here.) *

How do you prefer to be contacted? *

Email SMS (Text) Phone

Contact Phone If you checked SMS (Text) above - please put your cell number here *

Do you have a doctor preference?

Dr. Martin Langhofer Dr. Chris Persing Dr. Chris Payton

Grooming Appointment - do you have a groomer preference?

Tina Jamie

Any other requests?

If you have any scanned pet records, you can upload it here.

Acceptable file types: doc,docx,pdf,jpg,jpeg.
Maximum file size: 5mb.

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