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.

Required information is marked with a "*"

Full Name *
Email Address *
What city would you like the appointment in? *
Contact phone number for a reminder call the day before your appointment * (xxx-xxx-xxxx)
Is this a dog or cat?
Animal Breed?
Animal Gender * Male Female
Pet Name
Approximate weight of your pet * lbs.
Approximate age of your pet years months
How did you hear about EMANCIPE+?
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