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Veterinary Services Contact Form

 

Veterinary Services Request For Information

Please note that this is a general request form for more information regarding our Max Memorial Clinic and the services offered by Dr. Christine Schneider. We are not equipped to handle emergencies. If your situation is an emergency, please contact your regular veterinarian for help. Please allow 2-3 business days for responses to your inquiry. Thank you!

Name(Required)
Please provide the best phone number to reach you.
What Veterinary Services Are You Interested In?(Required)
Please check the boxes for the services you are interested in learning more about. These are the only services we have available at this time.
Please select type of animal(Required)
Dr. Christine is only able to treat dogs and cats at this time.
If you do not know an exact age, please give us an estimate.
Do we have permission to contact your regular veterinarian for more information?
Briefly describe your pet's condition and what you hope to achieve.