Emergency Intake Questionnaire

If you are on your way to our clinic or waiting to be seen, please fill out this form and submit it to us. Thank you!

Please note (unless it is a holiday and we have extended hours listed) we are CLOSED Monday through Friday from 8am to 5pm and will not be available during those hours. Visit our Resources page for links to all other veterinary clinics in the greater Salem/Keizer area if you need help when we are unavailable.

Questions with a star * beside them are required.

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Check any symptoms your pet is experiencing or has experienced recently:
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Our clinic works on a system of triage and critical patients will be rushed into our hospital as quickly as possible. If your pet is currently stable, would you prefer to:
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