Contact
Lotus Urgent Veterinary Hospital | New Client Registration
Current Clients, please call 410-231-3435 to make an appointments.
Full Name
*
Email
*
Address
*
Phone Number
*
Postal / Zip Code
*
Custom HTML
First Appointment Date Choice
*
Second Appointment Choice
Pet"s Name
Date of Birth
Species
*
Dog, Female, Spayed
Dog, Female, Intact
Dog, Male, Neuter
Dog, Male, Intact
Cat, Male, Neuter
Cat, Male, Intact
Cat, Female, Spayed
Cat, Female, Intact
Requested Service Type
*
Core Vaccine - Rabies
Core Vaccine - Distemper
Vaccine - Lyme
Vaccine - Leukemia
Vaccine - Bordetella
Vaccine - Others
Sick Pet
Emergency Service
Compassionate Euthanasia
Additional Requests
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