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Request Appointment Date *(4-digit year, 2-digit month, 2-digit day xxxx-xx-xx)
Would you prefer we contact you by email or phone? EmailPhone
What kind of pet do you have? DogCatOther (please enter type in message field)
What type of appointment is this? ---Wellness ExamDiagnostic CheckNot Sure
Would you prefer to have your appointment at our Energy, IL or Carbondale, IL location? ---Energy, ILCarbondale, IL
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