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Please feel free to use the Online Forms below for Office Visits, Boarding Reservations, and Bath/Nail Appointments. All appointments will be confirmed with a phone call and e-mail (if you provided an e-mail address). No appointments are confirmed unless you have been contacted by one of our staff. Atrium Animal Hospital 704-542-2000.

For your convenience, you can download Clinical Forms at the bottom on this page.  Please fill them out and bring them with you to your appointment to save time when you visit our office.

To request Prescription Refills for Hospital Pick Up, please use the form located below.

 

Office Visit

Owner Name:
Pet Name:
Type Of Appointment: Acupuncture
 Vet Assistant Appt.
 Dental
 Other (explain below)		 Rehabilitation
 Surgery
 Routine Check
Preferred Doctor: Dr. Kim Hombs
 Dr. Katie Smithson
 Dr. Laura Lathan
Date Desired:
Time Desired:
Email:
Phone:
 
Please provide a brief description of your pet's problem:

 

  
Boarding Reservations
Owner Name:
Pet Name:
Date Desired:
Email:
Phone:
Accommodations: Suite     Condo     Cage
Is Pet Current On Vaccinations?:Yes     No     Don't Know

*All pets must be current on all vaccinations however, any past due
vaccinations can be administered when your pet is dropped off at the hospital.

Please click here for Sunday pickup policy information. 

Please click here for 2010 Holiday boarding policy
 
Special Service Required:

 

  
   
  Bath and/or Nail Trim
Owner Name:
Pet Name:
Date Desired:
Time Desired:
Email:
Phone:
   
Special Requests (please mention any special requirements your pet may have):

 

  
  Prescription Refills For Hospital Pick Up

Please provide us with the information requested below. This information may be obtained from your pet's current medication. Please note that our on-line request form is good for refills only. If the doctor approves your refill, we will call or a confirmation will be sent to you via e-mail within 48 hours of your request. Should you require this medication sooner, please let us know in the special request section. Once your prescription is confirmed, you may pick it up at the hospital.

Owner Name:
Pet Name:
Prescription:
Prescription Number:
Doctor:
Email:
Phone:
   
Special Instructions:  

 

  
  Clinical Forms

Unwell Patient Form (PDF)
Ear and Skin Problems Form (PDF)
Gastrointestinal Problems Form (PDF)
Lameness Form (PDF)
Urinary Problems Form (PDF)

Get Adobe Reader

  
 

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6520 McMahon Drive • Charlotte, NC 28226 • 704.542.2000

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