715-529-5900 [email protected]

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Curbside Check-In Form

Curbside Check-In Form

Please fill out the following form as thoroughly as possible. Please note: All * fields are required.

Curbside Questions

I am in this vehicle: *

(Please list the model and color.)

Best phone number for today's appointment: *

(The veterinarian and technician will use this number to communicate with you through the appointment.)

Patient's Name *

Patient's Species *

Canine
Feline

Owner's Name *

First

Last

Appointment Date/Time *

Date

Time

Primary Reason for Appointment / Concern (please be as detailed as possible) *

Patient's Energy Level

Normal
Increased
Decreased

Please list the medications your pet is currently taking:

Do you need refills of any of these medications?

Yes
No

If you need a medication refill, please list which medications:

Do you need refills on any prescription pet food?

Yes
No

If you need a prescription pet food refill, please let us know which kind:

Patient's Appetite

Normal
Increased
Decreased

Drinking/Water Intake

Normal
Increased
Decreased

Is the patient coughing?

Yes
No

If yes, for how long?

Is the patient sneezing?

Yes
No

If yes, for how long?

Is the patient vomiting?

Yes
No

If yes, for how long?

Please upload any relevant records or photos below:

Click or drag files to this area to upload. You can upload up to 5 files.

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COMPASSIONATE, HIGH QUALITY CARE

We take exceptional pride in everything we do. From the moment you reach out to us for guidance, we will be there to help you and your pet to the very best of our ability.

Two Convenient Locations!

Fill out our online form below to leave us a message. Please feel free to call us at anytime.

Eau Claire, WI

Located in Westgate Animal Hospital

2135 N Clairemont Ave, Eau Claire, WI 54703
Phone:
715-529-5900
Email:
[email protected]
Open Hours:
Mon - Thu: 5 PM - 8 AM
24-hour care on the weekends starting Fri at 5 PM - Mon at 8 AM

Hudson, WI

Located in Croix Veterinary Hospital

655 O’Neil Road, Hudson WI 54016
Phone:
715-502-4241
Email:
[email protected]
Open Hours:
Mon - Fri: 5 PM - 12 AM
Sat - Sun: 12 PM - 12 AM

Please note: we do not respond to pet health questions or appointment requests via the website or email. If you need emergency veterinary care or assistance, please call us during our regular business hours at 715-529-5900, or contact your family veterinarian outside our normal business hours. Thank you!

Name *

First

Last

Email *

Phone *

How can we help you? *

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CARING FOR PETS IN Eau Claire, WI AND BEYOND.

From Western Wisconsin and Eastern Minnesota, we have your pet covered. Please do not hesitate to call us if your pet is experiencing an emergency.

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