Appointment Request

Please complete the following form to request an appointment. Availability will vary depending on your request. Your appointment confirmation will be sent to the primary email address on your account. Thank you!

Client/Owner Name*

First Last

Email*

Enter Email Confirm Email

Phone*

I confirm I am a CURRENT Client and I have submitted the NEW CLIENT FORM and received the Welcome Email:

YES - I am a current client with an existing account
NO - I would be a NEW client and understand I must complete the New Client Form and receive the Welcome Email prior to scheduling an appointment.

*Only Current Clients with existing accounts may submit a request for an appointment.

Have prior medical records already been provided to Copper Point for your pet(s)?*

Yes!
No - but I understand records MUST be emailed to info@copperpointvet.com, if records are not provided within 24 hours prior to my pet's appointment the appointment will be forfeited.
No - I will be bringing my pet's medical records to the appointment.
No - there are no prior medical records for my pet. I will explain in the comments below.

Desired Appointment Date (Appointments available Monday/Tuesday/Thursday/Friday 8:30-11:30 or 2:00-5:30, Wednesdays 8:30-11:30, Saturdays 8-11:30)*

Select Desired Appointment Time (*If you have a desired specific time, please include in the details are below. Also provide optional dates/times)*

Morning, Monday-Saturday (8:30 - 11:15)
Afternoon, Monday, Tuesday, Thursday, Friday (3:00-5:15) *CLOSE 12:00/NOON ON WEDNESDAYS & SATURDAYS
I'm flexible, any time works!
I have a SPECIFIC desired appointment time request that will be included in the details below.

Pet Name(s) - Please include all pets you plan to bring on the requested appointment day, if more than 1, so we can allot additional time if needed*

Species*

Feline
Canine
Both (if bringing more than 1 pet)

Does your pet require a muzzle or caution when handling?

No, there are no handling concerns with each pet being scheduled
Yes, my pet may need a muzzle or require caution when handling. (*Details must be provided below)
I am not sure and will provide details below.

Appointment Type*

Annual Wellness/Vaccines/NO Other Concerns or Issues (*Please bring a stool sample)
Dental Exam/Discuss Dental Cleaning
New Client, I am a New Client and wish to establish with Copper Point. I confirm I have submitted the New Client Form from the CPVH website.
Medical Concern (*Symptoms must be provided below)
New Puppy/Kitten Exam/No Medical Concerns or Issues
Surgery/Dental (*Must provide details below)
Other (*Must provide details below)

Will you be requesting any Medication Refills or Written Prescriptions while at your appointment?*

No - I do not need any medication refills or any written prescriptions at this time.
Yes - I would like to get refills of current medications for my pet while at this appointment. I will list the medications below in the specified box.
Yes - I would like to get Written Prescriptions of current medications for my pet while at this appointment to use at an external pharmacy of my choice. I will list the medications below in the specified box

Appointment Scheduling Process:

I understand my appointment will be scheduled upon receipt of this request and an email confirmation will be sent to me if no additional information is necessary.
I request a call to further discuss this appointment request.

Please provide all details associated with the appointment requested, including specific desired appointment time, optional day/time, pet temperament/handling concerns, surgery details, and ALL issues or concerns to be addressed by the team*

Please provide specifics for any medication REFILLS you would like provided while at this appointment (Pet Name, Medication Name, etc):*

Please provide specifics for any medication WRITTEN PRESCRIPTIONS you would like provided while at this appointment (Pet Name, Medication Name, etc):*

Confirm understanding of Cancellation/No-Show Policy: We respectfully request 24 hours advanced notice to cancel an appointment. When you do not contact us to cancel an appointment, you may be preventing another patient from receiving much needed treatment. Repeated failures to cancel appointments within the requested timeframe will result in a $65 non-refundable scheduling fee to schedule appointments in the future.*

I confirm I have read and understand the Cancellation/No-Show Policy

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Phone

This field is for validation purposes and should be left unchanged.

Are you a new client?
Please submit the New Client Form prior to requesting an appointment.

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