Please complete the form to request an appointment First Name* Last Name* Email* Phone* Patient Type* ---New PatientReturning Patient Preferred Time to Contact You: * ---MorningAfternoon Pet's Info Type* ---DogCatBirdRabbitFerretSkunkAmphibianRodentReptileOtherWe do not treat venomous snakes/animals, tarantulas, monkeys, sugar gliders, or hedgehogs. Breed Pet's Name Pet's Age Comments & Questions I understand appointments are not scheduled until I receive confirmation from the Hartman staff.