636-225-8387 [email protected]

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Curbside Check-In Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

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Curbside Check-In Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 636-225-8387 for a faster response.

Curbside Questions

I am in this vehicle: *

(Please list the model and color.)

Best phone number for today's appointment: *

(The veterinarian and technician will use this number to communicate with you through the appointment.)

Patient's Name *

Patient's Species *

Canine
Feline
Other

If 'Other', please specify: *

Owner's Name *

First

Last

Appointment Date/Time *

Date

Time

Primary Reason for Appointment / Concern (please be as detailed as possible) *

Patient's Energy Level

Normal
Increased
Decreased

Please list the medications your pet is currently taking:

Do you need refills of any of these medications?

Yes
No

If you need a medication refill, please list which medications:

Do you need refills on any prescription pet food?

Yes
No

If you need a prescription pet food refill, please let us know which kind:

Patient's Appetite

Normal
Increased
Decreased

Drinking/Water Intake

Normal
Increased
Decreased

Is the patient coughing?

Yes
No

If yes, for how long?

Is the patient sneezing?

Yes
No

If yes, for how long?

Is the patient vomiting?

Yes
No

If yes, for how long?

Please upload any relevant records or photos below:

Click or drag files to this area to upload. You can upload up to 5 files.

Name

Ready for a visit?

We proudly serve the pets of Valley Park, Kirkwood, Des Peres, Ballwin, St. Louis, and the surrounding West County areas. We look forward to seeing you and your pet! You may request an appointment by clicking the button below.

Appointments Download our app

Address

2951 Dougherty Ferry Road
Suite 102
St. Louis, MO 63122

Visit our sister location Arch Animal Hospital West

St. Peters Location

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Hours

Mon – Thurs: 8 am – 6 pm
Fri: 8 am – 5 pm
Sat: Closed
Sun: Closed

Holiday Closures – New Year’s Day, Memorial Day, Labor Day, Independence Day, Thanksgiving Day, Christmas Day

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Contact

P: (636) 225-8387
F: (636) 225-0719
E: [email protected]

Have a question?

We care about your pet’s health and would love to hear from you! Complete our online form, and a member of our team will be in touch with you shortly.

Name *

First

Last

Pet's Name *

Email *

Phone

How can we help you? *

Phone

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