Existing Client Appointment Form

If your pet is having an emergency, please click here for our emergency page. The following form is for wellness visits only.

Crystal Lake Veterinary Hospital will do our best to accommodate your preferences or provide you with other options to meet your needs. We will contact you within one business day of your request via phone. If you need more immediate assistance, please call us at 815-459-3380.

Required Fields Are Marked [*]

New Client or Existing Client?*
- New Client
- Existing Client
Welcome New Client!

Access Appointment Request Form for Existing Clients here

For new patients, please note that we need your pet’s prior medical records at least 24 hours prior to his / her appointment. These records can be faxed to us at 815.459.4476 or emailed to crystallakevet@yahoo.com
Client Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Alternate Phone
Pet Information
Pet name (s)*
(if you have more than one pet please enter them separately)
Pet Age (s)*
(if you have more than one pet please enter them separately)
Appointment Information
Reason for visit:*
Availability:*
MM slash DD slash YYYY

CLVH will do our best to accommodate your date preference. We will contact you within one business day of your request via phone to confirm your appointment date and time
Preferred time of the day?
Dr. Preference (if any)*

Thomas Nick, DVM

Christina Bemis, DVM

Sherry Bresnahan, D.C.

No Preference
You may upload a photo of your pet to show any visual issues.
Allowed file extensions: jpg, jpeg, png, HEIC (Max 8MB)
Accepted file types: jpg, jpeg, png, heic, jpgjpeg, png, heic, Max. file size: 8 MB.
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Comments
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(815) 459-3380

Existing Client Appointment Form

Welcome New Client!

Client Information

Pet Information

Appointment Information