VeterinarianForm

The purpose of this form Is to get as much information on the Veterinarian That you want to put on the web page.  All information is confidential , and will not be given without permission.

Please provide the following contact information:

Your name
Veterinarians name
Organization
Street address
City
State/Province
Zip/Postal code
Country
Work Phone
FAX

Does your Vet Have a Pager ?

Yes No

If Yes - What is the pager number ?


What is the Vets Working Hours


Is this vet Ferret Knowledgeable ?

Yes No

Does your Vet use Imrab Vaccine for Rabies shots?

Yes No

Does this Vet use Fervac D for Distemper Shots ?

Yes No

Has this Vet done any surgeries on Ferrets ?

Yes No

If Yes What Kind ?


Does this Vet give discounts for Shelters/Half Way Homes ?

Yes No

Does this Vet Make House Calls ?

Yes No

How would you rate your Vet ?

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Copyright Kris Mewton MKARESQ
Last revised: July 17, 2000