Schedule an Appointment – Test

To schedule your appointment with your local MedVet Urgent Care location, please complete the form below.

After selecting your appointment date and time, we will hold your appointment for 15 minutes while you complete the scheduling form. If the scheduling form is not completed within the 15 minutes, you may be required to select a new date and time.

Only one pet can be seen per appointment slot. If you have more than one pet that needs to be seen, please call us.

MedVet Location Information

Please select the MedVet location(Required)

Appointment Details

Please select a date and time from the available appointments(Required)

Once a date and time is selected, we will hold the appointment for 15 minutes while you complete the form.

Your Information

Name(Required)

First Last

Cell Phone(Required)

Home Phone

Date of Birth(Required)

License Number(Required)

License Issuer(Required)

License Expiration Date(Required)

Please provide an estimate if not known.

Is this your first time visiting this MedVet location?

Yes

Address(Required)

Street Address Address Line 2 City State ZIP Code

If you do not have an email address, please enter: noreply@medvet.com

Secondary Contact

First Name

Last Name

Cell Phone

Your Pet

Pet's Name(Required)

Pet's Species(Required)

Pet's Breed (please select species first)(Required)

Pet's Gender(Required)

Pet's Color

Pet's Date of Birth(Required)

Please provide an estimate if not known.

Name of Your Pet's Veterinary Clinic(Required)

If you do not have a primary veterinarian, type 'None'.

Veterinary Clinic Phone(Required)

If you do not have a primary veterinarian, or do not know their phone number, type '000-000-0000'.

Name of Your Pet's Veterinarian(Required)

If you do not have a primary veterinarian, type 'None'.

Medical Information

Hidden

Reason for Visit

If you are unable to find your pet's condition in the list below, please call the MedVet Urgent Care
MedVet Columbus: 614.846.5800

If you are unable to find your pet's condition in the list below, please call the MedVet Urgent Care
MedVet Richardson: 972.479.9110

If you are unable to find your pet's condition in the list below, please call the MedVet Urgent Care
MedVet Cleveland: 216.362.6000

If you are unable to find your pet's condition in the list below, please call the MedVet Urgent Care
MedVet Dayton: 937.293.2714

If you are unable to find your pet's condition in the list below, please call the WestVet Urgent Care
WestVet Meridian: 208.286.2368

If you are unable to find your pet's condition in the list below, please call the MedVet Dallas ER
MedVet Dallas: 972.994.9110

Reason for Visit(Required)

Release Authorization

MedVet may use and disclose information from your pet’s medical record, including medical information, demographic information, and images for educational and learning purposes, scientific investigations, and research publications. Your pet’s information may be disclosed to veterinarians, veterinary technicians, students, research collaborators, and other personnel within and outside of MedVet. All personal identifying information will be removed prior to disclosure to individuals outside of MedVet and prior to presentation and/or publication.

Please select your choice(Required)

I DO Authorize

I DO NOT Authorize

the use of my pet's information for educational and research purposes.

Please select your choice(Required)

I DO Authorize

I DO NOT Authorize

the use of my pet's first name, photograph and clinical information on MedVet's website, social media, news media page or within informational pamphlets. Under no circumstances will my name, my personal or financial information be shared through these media sources.

I have reviewed and verified that the above information is accurate to the best of my knowledge. I understand that payment in full is expected at the time my pet is released. I may be asked to leave a deposit if my pet is hospitalized overnight for further treatment. An estimate of care options will be discussed prior to treatment. In life-threatening situation, stabilizing care may be instituted upon arrival, but no invasive or diagnostic treatment will be undertaken until it has been discussed with me. The Client Service Representative will be happy to discuss the payment options available to me.

Signature

Date