Skip to content

Collinsville IL Vet Clinic | Hillside Pet Clinic

Contact Us

Phone: (618)345-8890
Fax: (618)343-3053
Email: [email protected]

Search Lifelearn: Search Site:

Home
New Clients
- What To Expect
About Us
Pet Services
Pet Health
Links
Online Pharmacy
Forms

Request Services

Please complete the form below and press 'Submit'

Please note: When making online requests please allow 24 hours for your request to be processed.

Personal Information

Contact Name:

E-mail Address:

Phone Number:

Prefered Contact Method:

Pet Name:

Request Type:

Appointment Information

1st Requested Date / Time:

-

2nd Requested Date / Time:

-

Request Appointment With:

Refill Details

Medication or Product Refill Name:

Quantity:

Number of Cans: Size:

Reason for Appointment:

Boarding Reservation Notes:

Grooming Notes:

Medication Refill Notes:

Product Refill Notes:

General Question(s):

Share

Print this page
Email this page to a friend
Share this page on Facebook
Share this page on Twitter
Share this page on Google Plus

In this section

Customer Satisfaction Survey
My Pet's Medical Records
Profile
Request Services

Easily manage your pet's health online. View your pet’s medication schedules, update your account information, check your pet’s vaccination status and much more.

In the News

World Rabies Day
September 24, 2020
September 28th is an important day in human and animal health. September 28th marks…
Curbside Veterinary Care
September 17, 2020
As we adapt to the “new normal” during the COVID-19 pandemic the way we go about…
September 13th is National Pet Memorial Day
September 10, 2020
This Sunday marks Pet Memorial Day, a day to remember and celebrate all the pets…

RSS
Facebook

Contact
About
Privacy
Sitemap

© Copyright 2020 ePet Websites | Powered by WebDVM