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24 hr emergency service

CLIENT ONLINE BOOKING FORM FOR A MEDICAL CONSULTATION

Please use this form to arrange an appointment in our clinics.
A staff member will contact you to confirm the appointment time & place.
We need enough detail to find your records if you are an existing client, or contact you if a new client.
If the household has multiple names, please ensure you use the same one each time you contact the clinic, to save duplication of records.
If the problem is urgent, we suggest you ring our clinics immediately.
Your name: emptyPlease enter the same name as used at the clinic
Preferred contact method: emptyPhone empty Email empty SMS empty Phone number:
Email address: emptyThe best time to contact you by phone:
Address:
Pet name: emptySpecies: Dog emptyCat empty Horse empty Other
Nature of problem:
Please note that if you need veterinary chiropractic services, you must stipulate Dr Kate Haines as preferred veterinarian
Preferred Vet: emptyKate Haines emptyAmanda Rhodes-Andrew emptyKay Mitchell
empty Helen Barker emptyFiona Armstrong emptyBelinda Herrald
Please note that our vets rotate between our clinics, so we may not be able to meet all your preference criteria.
Preferred clinic : emptyMorwell emptyTraralgon
Preferred day : emptyPreferred time:
Which is most important: emptyThe Vet emptyThe clinic emptyThe day emptyThe time