Submit a request – Ethos Veterinary Health East Help Center

Please Select one of the Following Options from the Drop-Down Menu:

Your email address

Please provide any details or comments here

First Name

Last name

Phone number

(do not include dashes)

Address

City

State

Zip Code

Pet's Name

Breed

Gender

Pet's DOB (or approximate age)

Color

Reason for Visit

Type of Appointment

Please select from one of our services below and your location preference. If you do not see the service represented below, please select "I DO Not See the Service I am Looking for". Not all services are available at all locations

Note: Please allow 24 hours for us to process your Online Appointment Request. If your pet is having an EMERGENCY or needs to see a veterinarian urgently, please contact us right away at the following numbers. **Please do not submit an Appointment Request form for our ER. Instead, contact us directly, or if life-threatening, head to the nearest ER Boston West - Natick, MA (508)319-2117; Bulger Vet - Lawrence MA (978)725-5544; Capital District - Latham, NY (518)785-1094; Mass Vet - Woburn, MA (781)932-5802 Port City - Portsmouth, NH (603)433-0029; PVG - Chicago, IL (773)516-5800; SAVES - Lebanon, NH (603)306-0007; VERC - Honolulu, HI (808)735-7735; VSH North County - San Marcos, CA (760)466-0600; VSH Sorrento Valley - San Diego, CA (858)875-7500

Preferred Doctor/Specialist

Do you have a preferred doctor or specialist you would like to request?

Date Preference

Please note: Your date preference may not be available and we will book your pet for the next available time.

Appointment Time Preference

We try to book your pet's appointment based on your preference but will not always be able to do so based on the Doctor's schedule or symptoms described.

Who is your pet's primary veterinarian? (Please enter the clinic name)

When was your pet last seen by your regular veterinarian?

Were x-rays taken?

Were x-rays taken related to the pet's current condition? You can attach x-rays images at the bottom of this form.

Which clinic were x-rays taken?

Would you like us to know anything else??

Attachments

Add file or drop files here