Request an Appointment (Ipswich only)

PLEASE NOTE!
When making an appointment online, please allow between 5-7 days when choosing a date. If you are booking an appointment for an emergency situation, please call the Ipswich Community Vet Clinic Direct on 07 3812 7533

All fields marked * are required.

Contact Details
Title
First Name*
Surname*
Phone Number*
Email Address*
Address*
Street Address Address Line 2 City Post Code
New Client?
- Yes
- No
Your Pet's Information
Pet's Name*
Breed*
Age/D.O.B.*
Sex*
- Male
- Female
Microchip No
Colour
Desexed*
- Yes
- No
Did you adopt your pet from the AWLQ?
- Yes
- No
If yes, when did you adopt your pet?
Appointment Details
Current Heartworm Prevention?
Current Flea & Tick Control?
Current Intestinal Worm Prevention?
Reason for visit*
First preference appointment date*
Date Format: DD slash MM slash YYYY
First prederence appointment time*
If we are unable to accommodate your appointment request, please select a second preference for your appointment time and date below.
Second preference appointment date*
Date Format: DD slash MM slash YYYY
Second preference appointment time*
Email
This field is for validation purposes and should be left unchanged.

Request an Appointment (Ipswich only)

Contact Details

Your Pet's Information

Appointment Details

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