We welcome you to request an appointment using our email form below 48 hours ahead of time only. Please be aware you do not have an appointment until it is confirmed via reply email.

If you need an appointment sooner then please call 5821720 (Wayaca) or 5870911 (Noord). For emergencies only you can use 5930603.

Owner information

First Name

Last Name

Email address

Verify email address

Address

Phone Number

Animal Information

Pet Name

Species Select a species Dog Cat Bird Rabbit Other

Other species:

Sex Male Female

DVM # as in vaccination booklet optional

Appointment Information

Reason for appointment? Select an option Consultation Vaccination Surgery Dental Digital X-ray Ultrasound

You can request a consultation appointment
Mon-Fri 3:00 - 5:50 pm and
Sat 9:00-11:50 am (Noord Clinic) or
Sat 1:00 - 3:50 pm (Wayaca Clinic)

You can request a vaccination appointment
Mon-Fri 3:00 - 5:50 pm and
Sat 9:00-11:50 am (Noord Clinic) or
Sat 1:00 - 3:50 pm (Wayaca Clinic)

Type of Surgery Select an option spay / neuter as discussed with doctor other

Other type of surgery:

Reason for ultrasound: Select an option Pregnancy as discussed with doctor

Clinic Select a clinic Veterinaire Kliniek Wayaca Veterinaire Kliniek Noord

Desired appointment date

Desired appointment time Hour 09 10 11 13 14 15 16 17 Minutes 00 10 20 30 40 50

Attach a file Optional

Additional Information

Please describe the reason for the appointment?

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To avoid double submits, please submit only once.