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Please get in touch!

Interested in our veterinary house call services? Do you or your pet become stressed or overwhelmed when transporting your furry family member to a veterinary clinic? Is convenience equally as important as quality of service? If you answered yes to any of these questions, get in touch with us via the form below and we'll get back to you as soon as possible to schedule your first appointment. 

Online Registration

Title

First Name*

Last Name*

Email Address*

Message*

Street Address*

City*

State*

Zip *

Cell Phone*

Home Phone*

How did you hear about us?*

Pet #1 Name*

Species

Breed*

DOB (month/day/year) or Age*

Sex*

Spayed or Neutered?*

Weight*

How long have you had your pet?*

Where did you get your pet from?*

Microchip # (if applicable)

Medical History-previous disease, surgeries, vax (with dates)*

Current medication(s), Flea/tick preventative? If not applicable write "none"*

Any history of vaccine reactions/drug allergies?*

Diet (brand, amount given each day)*

Any vomiting or diarrhea on a consistent basis?*

Any coughing/sneezing on a consistent basis?*

Behavior with veterinarians (select all that apply)*

Cats: How many litter boxes? Are litter boxes covered or uncovered?

Cats: Type of litter

Cats: Does your cat go outside? If so, do they roam?

Any other pets in the household?*

Additional comments/concerns

Pet #2 Name (If no other pets, scroll to bottom and click on "Send Message")

Species

Breed

DOB (month/day/year) or Age

Sex

Spayed or neutered?

Weight

How long have you had your pet?

Where did you get your pet from?

Microchip # (if applicable)

Medical History-previous disease, surgeries, vax (with dates)

Current medication(s), Flea/tick preventative? If not applicable write "none"

Any history of vaccine reactions/drug allergies?

Diet (brand, amount given each day)

Any vomiting or diarrhea on a consistent basis?

Any coughing/sneezing on a consistent basis?

Cats: How many litter boxes? Are litter boxes covered or uncovered?

Cats: Type of litter

Cats: Does your cat go outside? If so, do they roam?

Behavior with veterinarians (select all that apply)

Additional comments/concerns

Pet #3 Name

Species

Breed

DOB (month/day/year) or Age

Sex

Spayed or neutered?

Weight

How long have you had your pet?

Where did you get your pet from?

Microchip # (if applicable)

Medical History-previous disease, surgeries, vax (with dates)

Current medications, Flea/tick preventative? If not applicable write "none"

Any history of vaccine reactions/drug allergies?

Diet (brand, amount given each day)

Any vomiting or diarrhea on a consistent basis?

Any coughing/sneezing on a consistent basis?

Behavior with veterinarians (select all that apply)

Cats: How many litter boxes? Are litter boxes covered or uncovered?

Cats: Type of litter

Cats: Does your cat go outside? If so, do they roam?

Additional comments/concerns

Your submission was successful! We will send an email with information about our practice.

Contact Information

Elsa I Campos, VMD

(main) 973-900-9977

(cell) 973-913-4558 - Text/Call

Hours of Operation:

*Mondays, Tuesdays, Thursdays and Fridays for inquiries

*Mondays, Tuesdays and Fridays for visits

*Closed: Wednesdays, Saturdays and Sundays

Address:

Dr. PetLover, LLC

P.O. Box 582

South Orange, NJ 07079

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