Rescue Appointment Request

Foster and Rescue Information

Is this appointment request urgent/emergent?
Click here to learn what a pet emergency is.

Rescue Name*

Phone Number for Foster:

Rescue Animal Information

Origin of Animal*

Do you have previous records?

Appointment Information

Primary desired appointment day

What time of day?

Secondary desired appointment day:

What time of day?

Specific Appointment Date Request:

Reason for Appointment? (select all that apply)

Concerns

The animal you have submitted the appointment request for must have approval by your rescue board members for the listed services. Including but not limited to, the non-core vaccinations, heartworm and parasite prevention will not be administered unless pre-approved. Any additional services requested or suggested by the Brekke Veterinary Clinic's trained staff must be approved by a board member of your rescue before the treatment is provided unless the animal's life is at risk.

Foster and Rescue Information

Is this appointment request urgent/emergent?
Click here to learn what a pet emergency is.

Rescue Name*

Foster Phone Number

Rescue Animal Information

​​​​​​​Appointment Information

Primary desired appointment day

What time of day?

Secondary desired appointment day

What time of day?

Specific Appointment Date Request

Reason for Appointment? (select all that apply)

Reason for Exam Appointment/Litter Exam

Concerns

The animal you have submitted the appointment request for must have approval by your rescue board members for the listed services. Including but not limited to, the non-core vaccinations, heartworm and parasite prevention will not be administered unless pre-approved. Any additional services requested or suggested by the Brekke Veterinary Clinic's trained staff must be approved by a board member of your rescue before the treatment is provided unless the animal's life is at risk.