L&L Urgent Care - Check your pet in form

"*" indicates required fields

Tell Us About You

Pet Owner's First Name*

Pet Owner's Last Name*

Preferred Pronouns

Email*

Cell Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Care Veterinary Hospital*

Has this pet or any of your other pets ever been seen at L&L Animal Urgent Care before?*

Tell Us About Your Pet

Pet's Name*

Species Of Pet*

Approximate Age of Pet or Birthdate

Pet Color

Gender Of Pet*

Breed*

Reason For Your Visit

*If your pet is experiencing vomiting or diarrhea, please bring a fresh fecal sample to your visit for evaluation.

Reason For Visit*

In case of an emergency while my pet is in the hospital, I give consent to L&L Animal Urgent Care to perform CPR, or other life-saving treatments/diagnostics, on my pet. I understand that I am expected to pay the cost associated with CPR that can range from $500-$1000.*

How Did You Hear About Us?*

I give L&L Animal Urgent Care, and its staff, permission to take photos and post photos/name of my pet on L&L’s website and social media platforms such as Facebook and Instagram, for non-commercial purposes*

Additional Notes

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