Brook Farm Veterinary Center
Caring For Your Pets As If They Were Our Own
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Request an Appointment
IF YOU HAVE AN EMERGENCY, PLEASE CALL 845-878-4833.
DO NOT USE THIS FORM FOR URGENT MATTERS.
*Your Name:
*Have you visited us before?
Yes
No
*Pet's Name:
*Has your pet visited us before?
Yes
No
*Phone Number:
*Email:
*Type of Appointment:
-Select a choice-
Routine
Surgical
Dental
Other
*Desired Date / Time:
*Alternate Day / Time:
Please remember that this form does NOT book your appointment. This form is sent to the receptionists for review and call-backs. Please expect a call back between normal business hours, Monday thru Friday.
Maximum call-delay*: 48 HOURS.
*Changes depending on call volume / request volume.
If desired, please print this page for your records before submitting.
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