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5440 Thornwood Drive, Suite E. San Jose CA 95120

Thank you for contacting us! Please use this form to request non-urgent appointments. We will contact you within 24-48 hours to confirm the details of your appointment.

Visit our web site at: www.OakridgeVetClinic.com

If you have an URGENT appointment request, please do not use this form; call us at 408-419-9238 so that we can help your pet as quickly as possible.

Appointment Information

Is this your first visit to our clinic? *

Yes

Services Requested: (for more information about our free pet photos visit: https://www.oakridgevetclinic.com/petphotos) *

Medical Appointment

Travel Health Certificate

Free Pet Photo session

Preferred Doctor(s): Check all that apply.

Any doctor

Dr. Singh

Dr. Hoge

Dr. Griscom

pet photos only

Please describe the reason/details for this visit *

Client Information

First Name *

Last Name *

Your preferred contact method: *

Phone

Text

E-mail

Your phone number (if texting, your carrier texting rates apply) *

Your e-mail address:

Pet Name *

(Optional) Additional pets to make an appointment for:

Your address (optional - providing this enables us to set up your pet's medical chart before your visit if applicable)

Street

City

Zip Code

Your Pet's Name *

Species *

Breed or type

Sex *

Male - Unneutered

Male - Neutered

Female - Unspayed

Female - Spayed

Unknown

Color

Approximate Date of Birth or age *

How did you hear about us/who can we thank for referring you?

Please provide the name and phone number of your pet's previous veterinary clinic so that we may request records prior to your appointment.

Are there any other pets you would like to make an appointment for, or anything you else would like us to know?

Preferred Date and Time

Preferred Date #1 (MM/DD/YYYY) * +

Preferred Date #2 (MM/DD/YYYY) +

Preferred Time of Day (Check all that apply) * 🛈

Anytime

Morning

Afternoon

Please let us know if there are any specific requests for your appointment time (i.e. first thing in the morning, as late as possible, etc.)