Rocky Gorge Animal Hospital Appointment Request Form

*required fields.

If this is an Emergency or your pet requires immediate attention, please call Rocky Gorge Animal Hospital at 301.776.7744.

If you are not sure whether this is an emergency, then please call us. Please use this online form to send a request a veterinary appointment for your pet.

This must be an appointment for a current Rocky Gorge Animal Hospital client and patient. If you are a new client or an existing client with a new pet, then please call so we may enter you and your pet(s) information into our computer database.

Appointments are available Monday-Friday.

Appointments are not offered Saturdays, as Saturdays are walk-ins only.

Online Appointment requests must be made at least 72 business hours in advance. For appointments within 72 business hours, please call 301-776-7744 to schedule an appointment.

We will contact you to confirm online appointment requests via telephone or email.

We reserve the right to charge a fee for any appointments cancelled with less than 24 business hour notice or a No Show for a scheduled appointment.

Thank you for entrusting us with the care of your pet.
*Client First and Last Name
*Pet Name
Please complete one appointment request form per pet.
*I am requesting an appointment for:
*Reason for Requested Veterinary Physical Examination Appointment:
Other reason(s) for requested appointment
Symptoms or Changes in Behavior:
Preferred Veterinarian for Physical Examination (if any):
*Surgical Procedure Requested:
Preferred Veterinarian for Surgical Procedure (if any):
Preferred Date(s) and Time(s) for Appointment:

*Choice 1 Date: *Time of Day:
*Choice 2 Date: *Time of Day:
Choice 3 Date: Time of Day:
*Contact Number
- -
*Alternate Number
- -
*Second Alternate Number
- -
*Between what hours may a Rocky Gorge Animal Hospital team member contact you? How late or how early is acceptable? [For example, from 8am until 10pm]:
* The Best Time To Call Me Is:
*Contact Email
Any Comments, Suggestions or Questions please post here.