Address

Preferred Contact Method (required)

Pet Information

Appointment

Have you already scheduled an appointment with us at Ikhala Veterinary Clinic?
YesNo

If Yes, please enter the date and time of your scheduled appointment below.

Do you have a copy of your pet's medical records available to bring to the clinic?
YesNoWaiting for previous veterinarian to send records already requested

Electronic Signature* (required)
By entering your full name below, you are acknowledging that you understand that payment is required when services are rendered. For your convenience, we accept cash, checks, MasterCard, Visa, Discover, or Care Credit. By entering your full name below, you assume responsibility for all charges incurred in the care of this animal, and you verify that all information provided is accurate. In the event that your account becomes delinquent and is sent to a collection agency, you agree to pay all incurred fees including collection costs, attorney fees, and court costs.