Request Appointment

If you would like to request an appointment at West Maui Animal Clinic, please fill out and submit the form below, or call us at 808-662-0099. Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment. If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at 808-662-0099 and DO NOT use the form below.

PLEASE NOTE: This form is for wellness appointments only! If your pet is experiencing any of the following symptoms, do not use this form and call us immediately:

  • seizures
  • breathing difficulty
  • vomiting
  • diarrhea
  • lethargy
  • hit by a car

Your Name*

Your Email*

Your Phone*

Request Date*

Reason for Appointment: