Looking for an appointment at our San Jose location? Please fill out this form instead.

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

Visit our web site at: www.SunnyvaleVet.com

If you have an URGENT appointment request, do not use this form. Instead, please CALL us or TEXT us directly at (408) 736-8296.

Client Information

Is this your first visit to our clinic? *

Yes

No

First Name *

Last Name *

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

Pet Name *

(Optional) Additional pets to make an appointment for:

Your Preferred Contact Method: *

Your E-mail Address: *

Your Phone Number *

Mobile Number *

More About You and Your Pet

Address (optional - providing this enables us to set up your pet's medical chart before your visit)

Street *

City *

Zip Code *

Phone Number *

Your Pet's Name *

Species *

Breed or Type

Sex *

Color *

Pet's Date of Birth *

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

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

Appointment Information

Services Requested: *

Medical Appointment

Travel Health Certificate

Other

Preferred Doctor(s): Check all that apply. (Read more about our doctors here) *

Any doctor

Dr. Christine Hanney (cats only)

Dr. Julie Hermansen (cats only)

Dr. Cynthia Huang (dogs and cats)

Dr. Amanda Thaler (dogs and cats)

Dr. Andrea Sherman (dogs, cats, exotic pets)

Dr. Katrina Larkin (dogs, cats, and small mammals)

Preferred Doctor(s): Check all that apply. (Read more about our doctors here) *

Any doctor

Dr. Christine Hanney (cats only)

Dr. Julie Hermansen (cats only)

Dr. Cynthia Huang (dogs and cats)

Dr. Amanda Thaler (dogs and cats)

Dr. Andrea Sherman (dogs, cats, and exotic pets)

Dr. Katrina Larkin (dogs, cats, and small mammals)

Please describe the reason for this visit *

Preferred Date and Time

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

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

Preferred time: * 🛈

Anytime

Morning

Afternoon

Evening