New Clients - Equine Veterinary Dental Services

We welcome all new dental clients!
Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. We will contact you by email or phone to establish your appointment date and time.

Name*

Phone*

Email*

Location*

Barn Hospital
Horse's Location

Preferred Veterinarian*

Dr. Jeff Reiswig
Dr. Jason Dickey
Either Doctor

Horse's Address*

Horse Name(s)

What Service is Needed?

Preferred Days of the Week*

Check all that apply.

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Phone

This field is for validation purposes and should be left unchanged.