Spay/Neuter Appointment Form

This form is only for scheduling an appointment for your pet to be spayed or neutered with EMANCIPE+.  This form is not for scheduling a wellness appointment (for “just” shots, etc).  For wellness information please go here.  If you would like to book an appointment for low cost sterilization (spay/neuter) for your pet, please complete the Appointment Request Form below.  An EMANCIPE+ representative will contact you via e-mail to help you with scheduling this appointment.  Please remember your appointment isn’t confirmed until you get a confirmation e-mail.  No appointment is necessary for the Mobile Clinic Free Days held each week Thursday – Saturday.

THIS IS FOR SURGERY APPOINTMENTS ONLY!
(You may schedule multiple pets on the same appointment form, just separate the information we request for each pet with a comma) 

 

 

Required information is marked with a "*".

For multiple pets, please separate name, gender, weight and age by commas.

  1. (xxx-xxx-xxxx)
  2. Cat or Dog? *
  3. Male (M) or Female (F)
  4. lbs.
  5. years months

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