Request an Appointment

Please complete the form below to submit a request for an appointment. After you submit a request, you will receive a call from us at the selected location as soon as possible to confirm your information and schedule the appointment.

Appointment Hours:
Mon-Fri 8:30AM – 5:30PM
Saturday 11AM – 1PM
After hours and emergency care may be available upon request

Heaven at Home Pet Hospice
1530 Monroe Ave. NW
Grand Rapids, MI 49505
(616) 498-1316
doc@pethospicevet.com

Your Name: (required)

Your Email: (required)

Phone: (required)

Address:

City:

Zip/Postal Code:

 

Service Requested: (required)

Referred By:

 

Requested Date of Service: (for appt in YYYY-MM-DD format)

Pet Information: (required)
(name, age, sex, breed, weight, illness, etc.)

Current/Previous Veterinarian: (required)

Contact Instructions:

Fees vary by service and location, please call for complete details. We accept payment by cash, check or credit card (including Care Credit) with a small convenience fee applied.  If you would like to apply for a Care Credit account, follow this link.

CareCredit_logo

 
Compassionate home care for your companions!
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