Albert North Veterinary Clinic

216 McIntyre Street
Regina, SK S4R 2L8

(306)545-7211

www.albertnorthvetclinic.ca

Albert North Veterinary Clinic - Appointment Request

Please complete the form below. We will confirm your appointment as soon as possible.

Confirmations will be provided via email (when address is provided). If you prefer a phone call and have also provided an email as an alternate contact please indicate your preference in the notes section. Thank you

Request an Appointment

Name (required)

First Name (required)	Last Name (required)

Phone (required)
Phone Type	Phone Number (required)

E-Mail Address :

Pet`s Name (required)

Type of Pet (required)
Canine
Feline
Avian
Rabbit/Rodent
Reptile
Other

Please select an appointment date and time

Month (required) :

Date (required) :

Time requested (required)
9:00am - 12:00pm
1:30pm - 5:30pm
5:30pm - 8:30pm (Mon - Thurs Only)

Reason for appoinment (required)

Doctor Preference :

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