Urgent Care Request Form

Please complete the Urgent Care and Sick form below.

Please note: We do not take American Express.

Chester Valley is sad to hear that your pet may be sick and we are here to help. Filling out this form prior to an appointment will help us to understand your pets needs and aid us in appropriately scheduling your pet.

 

Upon completion of your form we will contact you generally within 24-72 hours (dependent on demand) to set an appointment time or to add you to our stand by list.

 

We do request that you submit or bring in proof of Rabies vaccination, any relevant records, and a detailed list of all medications, supplements, and vitamins.

 

If you feel that your pet is emergent or in need of critical care and can not wait for our general contact time we do recommend that you reach out to PET Emergency. Their phone number is 907-274-5636 and they are located at 2320 E Dowling Rd, Anchorage, Alaska.

Owner Information

This is so we can get records if needed

If your pet has been seen by another vet previously, please have their records sent to us prior to your appointment! Our email address is healthypetalaska1@gmail.com and our fax number is 907-337-4311.

Medical History

See if your pet qualifies for "Sick/Urgent Care" Walk Ins or "Wellness" Walk Ins.

You qualify for a "Wellness" walk in.

Rabies Questions

*Proof of current Rabies vaccination required at time of visit

Health Certificate

Current medications and supplements

Other

If your pet is aggressive or reactive to people and/or other animals please keep them in your vehicle until you have checked in and your technician is ready to bring you and your pet directly into an exam room.

Click or drag files to this area to upload. You can upload up to 10 files.