New Client Appointment Request Form

Use the below form if you have never been to Burlington Animal Hospital. If you are an existing client, see the link below to go to the Existing Client Appointment Request Form.

If you feel your pet is having an emergency-please call us immediately to set up an appointment at 336-584-9241.

This is the New Client Appointment Request Form. If you are an existing client of BAH, CLICK HERE, to go to our Existing Client Form.

Thank you for considering Burlington Animal Hospital. We are dedicated to maintaining the health of your pet and look forward to many years together.

Setting an appointment online is not automatic. After we receive your request, we will contact you to confirm a date and time that is as close to your request as possible. If your appointment has not been confirmed within 24 hours, please call us at 336-584-9241.

This form should only be used for requesting appointments that will take place at least two business days after you submit the form. If you need an appointment within the next two business days, please call us to set it up.

Complete this form as fully as possible prior to your first appointment. The required sections have a red * asterisk.

Appointment Request


Appointments are Mon-Fri, 8:30 AM - 12:00 PM, 2:00 PM - 5:00 PM; Sat 8:00 AM - 11:30 PM.

Owner's Information


Co-owner's Information


Pet Information


Payment Information


I understand that payment is due when services are rendered. We accept cash, checks (written on a local bank and must show valid driver license of check holder's name), Visa, Mastercard, Discover and American express (must show valid driver license of the credit card holder's name). I also understand there is a $30 returned check fee.

I assume complete responsibility for any and all charges incurred in my pet's care. I understand that these charges are payable at the time of my pet's release and that a deposit may be required. I understand that I may request an estimate prior to treatment.

Photo/Video Release: Please indicate if you authorize BAH to take photos and/or videos of your pet, with possible use including but not limited to website, social media, brochures, etc.

LOCATION

Burlington Animal Hospital
3496 Forestdale Dr
Burlington, NC 27215
336.584.9241

Hours

Mon-Fri 7:30AM-5:30PM
Sat 8:00AM-12:00PM
Sun Closed

EMAIL

DIRECTIONS

Our Grooming Service

Your canine family member deserves the best, and you can be assured that we will treat your pet as if he/she was one of our own.  Whether for just a trim or that summer buzz cut, our groomer Diane will make sure your doggie comes out looking his or her best!  By appointment only.  Click below for info.

GROOMING INFO