DoveLewis - Emergency Veterinary Animal Hospital - Open 24/7

Tell Us About Yourself

Your Name

Your Email

Confirm Your Email

Your Phone

Your Pet's Information

Your Pet's Name

Select Your Primary Veterinary Clinic

Additional Veterinary Clinics

Has Your Pet Been to DoveLewis Before?

Yes

No

Tell Us Why You're Contacting Us

Which specialty department would you like to contact?

If your pet needs care in our ER or ICU, please call our team directly at 503-228-7281 and do not complete the remainder of this form.

Reason for Contact

Select "First-time Specialty Appointment" if your pet has not had an appointment with the requested department before.
Select "Returning Specialty Patient Appointment" if your pet has already had an appointment with the requested department.

Tell Us More

Tell us more about your pet's condition and your reason for seeking specialty veterinary care.

Prescription Information

Medications Needed

Tablet Strength (mg)

Where would you like to refill your prescription?

DoveLewis

Outside Pharmacy

What is the address of your pharmacy?

Address

City/Town

State/Province

ZIP/Postal Code

How is your pet doing?

Do you have any questions/concerns regarding the prescription(s)?

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

What code is in the image?

Enter the characters shown in the image.

Get new captcha!