Full Name(Required)
All lab results and medical records will be sent to this email address.
Phone Type(Required)
Address(Required)
Road Surface Type(Required)
Our mobile veterinary bus is large, and locations that are not accessible may not be serviced.
Is there a gate code required for access?(Required)
Preferred Method of Communication(Required)
As a mobile veterinary practice, our fastest response time is typically via text message. However, we can also communicate by email or phone when time allows.

Pet Information

Spay/Neuter Status(Required)
Please describe your concerns in as much detail as possible.
Has your pet been seen by another veterinarian before?(Required)
Please provide the name and phone number of your pet's previous veterinary provider. This information is vital to help us prepare for your upcoming appointment.
Please describe any fearful reactions, specific aversions, or sensitive areas.
Has your pet ever been prescribed or recommended pre-visit medications?(Required)
Is your pet fearful or aggressive?(Required)
This information helps us prepare for your visit and schedule the appropriate amount of time for your pet.
Does your pet become stressed by car sounds or doorbells?(Required)
Is your pet currently taking any medications?(Required)
Would you like to add another pet?(Required)

Second Pet Information

Spay/Neuter Status(Required)
Please describe your concerns in as much detail as possible.
Has your pet been seen by another veterinarian before?(Required)
Please provide the name and phone number of your pet's previous veterinary provider. This information is vital to help us prepare for your upcoming appointment.
Please describe any fearful reactions, specific aversions, or sensitive areas.
Has your pet ever been prescribed or recommended pre-visit medications?(Required)
Is your pet fearful or aggressive?(Required)
This information helps us prepare for your visit and schedule the appropriate amount of time for your pet.
Does your pet become stressed by car sounds or doorbells?(Required)
Is your pet currently taking any medications?(Required)
Would you like to add another pet?(Required)

Third Pet Information

Spay/Neuter Status(Required)
Please describe your concerns in as much detail as possible.
Has your pet been seen by another veterinarian before?(Required)
Please provide the name and phone number of your pet's previous veterinary provider. This information is vital to help us prepare for your upcoming appointment.
Please describe any fearful reactions, specific aversions, or sensitive areas.
Has your pet ever been prescribed or recommended pre-visit medications?(Required)
Is your pet fearful or aggressive?(Required)
This information helps us prepare for your visit and schedule the appropriate amount of time for your pet.
Does your pet become stressed by car sounds or doorbells?(Required)
Is your pet currently taking any medications?(Required)
Would you like to add another pet?(Required)

Fourth Pet Information

Spay/Neuter Status(Required)
Please describe your concerns in as much detail as possible.
Has your pet been seen by another veterinarian before?(Required)
Please provide the name and phone number of your pet's previous veterinary provider. This information is vital to help us prepare for your upcoming appointment.
Please describe any fearful reactions, specific aversions, or sensitive areas.
Has your pet ever been prescribed or recommended pre-visit medications?(Required)
Is your pet fearful or aggressive?(Required)
This information helps us prepare for your visit and schedule the appropriate amount of time for your pet.
Does your pet become stressed by car sounds or doorbells?(Required)
Is your pet currently taking any medications?(Required)
Would you like to add another pet?(Required)

Fifth Pet Information

Spay/Neuter Status(Required)
Please describe your concerns in as much detail as possible.
Has your pet been seen by another veterinarian before?(Required)
Please provide the name and phone number of your pet's previous veterinary provider. This information is vital to help us prepare for your upcoming appointment.
Please describe any fearful reactions, specific aversions, or sensitive areas.
Has your pet ever been prescribed or recommended pre-visit medications?(Required)
Is your pet fearful or aggressive?(Required)
This information helps us prepare for your visit and schedule the appropriate amount of time for your pet.
Does your pet become stressed by car sounds or doorbells?(Required)
Is your pet currently taking any medications?(Required)

Photo & Social Media Permission

Wild Magnolia Mobile Vet maintains an internet presence (social media, website, etc.) for marketing and educational purposes. Please let us know whether we have permission to use or post photos of your pet.

Photo & Social Media Permission(Required)

Policies & Agreements

Veterinary Cancellation Policy

We understand that life can be unpredictable and sometimes appointments need to be rescheduled. However, to ensure we can accommodate all of our patients and clients, we kindly ask that you adhere to the following cancellation policy:

48-Hour Notice: In order to avoid any cancellation fees, we require a minimum of 48 hours' notice to cancel or reschedule an appointment.

Late Cancellations/No-Shows: Cancellations made within 48 hours of the scheduled appointment, or failure to show up for your appointment, will result in a $140 fee. This fee covers the cost of the travel and exam time allocated for your pet's care.

Exceptions: Emergencies and extenuating circumstances will be considered on a case-by-case basis. Please contact us as soon as possible if such a situation arises.

We appreciate your understanding and cooperation in helping us provide the best care for all of our patients. If you have any questions or need to reschedule, please don't hesitate to contact us.

Cancellation Policy(Required)

Veterinary Prescription Policy

We prioritize the health and convenience of your pet. To streamline the process and ensure the highest quality of service, we offer an online pharmacy that we recommend for filling your pet's prescriptions.

Preferred Online Pharmacy: We have an online pharmacy that we prefer for all prescription medications. By using this pharmacy, you can be assured of the quality and timely delivery of your pet's medication.

Alternative Pharmacies: If you elect to use another online pharmacy of your choice, a $5 prescription fee will be applied for each prescription. This fee helps cover the administrative cost of processing prescriptions through third-party pharmacies.

Prescription Delivery: All prescriptions, whether filled through our preferred pharmacy or an alternative, will be mailed directly to your address.

Thank you for your understanding and cooperation in helping us provide the best care for your pet. If you have any questions or need assistance with prescriptions, feel free to reach out to us.

Prescription Policy(Required)

Privacy Policy

At Wild Magnolia Mobile Vet, we value your privacy. This policy explains how we collect, use, and protect your personal and pet information.

Information We Collect: We collect personal details (name, contact info, payment) and your pet's medical records to provide services and care.

How We Use It: We use your information to schedule appointments, process payments, and communicate with you.

Sharing Your Information: We don't share your data without your consent, except for service-related needs or as required by law.

Data Protection: We protect your data with secure systems and limit access to authorized staff.

Your Rights: You can access, update, or request deletion of your information.

Record Requests: Only the pet owner can request copies of medical records.

Changes: We may update this policy; any changes will be posted on our website.

Privacy Policy(Required)

Payment Policy

Payments are due at the time service is provided. We accept Cash, Venmo, Zelle, major credit cards, and Cherry as a payment plan option.

I accept that if I use a credit card for payments there is a 3% surcharge added to the final bill.

Payment Policy(Required)