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small animal
equine
small animal
[contact-field required="1" requiredtext="(required)" type="name" label="Name"/]
[contact-field required="1" requiredtext="(required)" type="radio" options=""I,"I,"I" label="Choose one option"]
[contact-field-option label="I am a new client. I understand there is a $50 deposit to hold an appointment and the New Client/Patient Information form (below) must be submitted before scheduling." type="field-option"/]
[contact-field-option label="I am an existing client with a new patient & the form below is needed at the time of scheduling." type="field-option"/]
[contact-field-option label="I am an existing client with breeding in process (information already submitted)." type="field-option"/]
[/contact-field]
Reproduction – New Client/Patient Information (opens in new window)
[contact-field required="1" requiredtext="(required)" type="telephone" label="Phone"/] [contact-field required="1" requiredtext="(required)" type="email" label="Email"/] [contact-field label="Patient Name" required="1" requiredtext="(required)" type="text"/] [contact-field label="Species " required="1" requiredtext="(required)" options="Canine,Feline" togglelabel="Select one option" type="select"/] [contact-field label="Appointment Type " required="1" requiredtext="(required)" options="Female - Pre-Breeding Consult/Cycle Management,Female - Progesterone Testing,Female - A.I. - Prior Consult Required,Female - Pregnancy Check (Ultrasound),Female - Puppy Count (Radiograph),Female - OFA/PennHIP,Female - Other - Please describe below,Male - Breeding Soundness,Male - Semen Collection & Evaluation,Male - Semen Shipping,Male - Semen Freezing,Male - OFA/PennHIP,Male - Other - Please describe below" togglelabel="Select one option" type="select"/] [contact-field label="Additional Details:" requiredtext="(required)" type="textarea"/] [contact-field label="Preferred Date Request" requiredtext="(required)" type="date"/] [contact-field label="Time Frame (see office hours)" requiredtext="(required)" type="text"/] [contact-field label="Secondary Date Request" requiredtext="(required)" type="date"/] [contact-field label="Time Frame" requiredtext="(required)" type="text"/]equine
[contact-field required="1" requiredtext="(required)" type="name" label="Name"/]
[contact-field required="1" requiredtext="(required)" type="radio" options=""I,"I,"I" label="Choose one option"]
[contact-field-option label="I am a new client. I understand the New Client/Patient Information form (below) must be submitted before scheduling." type="field-option"/]
[contact-field-option label="I am an existing client starting a new breeding cycle & the form below is needed at the time of scheduling." type="field-option"/]
[contact-field-option label="I am an existing client with breeding in process (information already submitted)." type="field-option"/]
[/contact-field]
Coming Soon (opens in new window)
[contact-field required="1" requiredtext="(required)" type="telephone" label="Phone"/] [contact-field required="1" requiredtext="(required)" type="email" label="Email"/] [contact-field label="Patient Name" required="1" requiredtext="(required)" type="text"/] [contact-field label="Species " required="1" requiredtext="(required)" options="Equine" togglelabel="Select one option" type="select"/] [contact-field label="Appointment Type " required="1" requiredtext="(required)" options="Mare - Pre-Breeding Consult/Cycle Management,Mare - Ultrasound In Clinic ***before 10am only,Mare - Ultrasound On Farm,Mare - Embryo Flush,Mare - Other - Please describe below,Stallion - Breeding Soundness,Stallion - Semen Collection & Evaluation,Stallion - Semen Shipping,Stallion - Semen Freezing,Stallion - Other - Please describe below" togglelabel="Select one option" type="select"/] [contact-field label="Additional Details:" requiredtext="(required)" type="textarea"/] [contact-field label="Preferred Date Request" requiredtext="(required)" type="date"/] [contact-field label="Time Frame (see office hours)" requiredtext="(required)" type="text"/] [contact-field label="Secondary Date Request" requiredtext="(required)" type="date"/] [contact-field label="Time Frame" requiredtext="(required)" type="text"/]