Intake Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

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I understand that Animal Emergency and Critical Care of Lynchburg has business and medical staffing hours Monday through Thursday nights 6:00PM to 8:00AM and Friday 6:00PM to Monday 8:00AM. There is no in-house medical care associated with Animal Emergency and Critical Care of Lynchburg outside of these hours. For this reason all patients must be transferred to a facility with proper medical staff for any continued treatment(s) required.

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