New Client Booking Request

Booking Request Form

Thank you for choosing our home veterinary service. We offer calm, convenient home visit appointments between 7am and 5pm, Monday to Friday. By completing this form, you are sharing your preferred availability, and we will arrange a suitable appointment based on both your schedule and the vet’s route. A time window for arrival will be provided at least 24 hours in advance. On the day of your appointment, you are very welcome to contact us via WhatsApp on 07545 326792 for an updated estimated

I understand that once my booking request has been received, I will be contacted with payment details for the consultation or vaccination fee in advance. My appointment will be confirmed once payment has been received.

I confirm that my deposit is non refundable and that I have read and agree to the terms and conditions.

Title

Your first & last name(s)

Phone

Address & postcode

If your home is not easily located or visible from the road, please share any helpful directions or landmarks.

Do you live outside of the Ealing area (e.g. not in W13, W5, or W7)? If so, please contact us at hello@theealingvet.co.uk before proceeding with your booking.

Pet's name

Species

Breed

Sex

Neutered status

DOB/Age

Colour

What is your pet's current Weight (if known)?

When was your pet's last Vaccination (if known)?

Has your pet been seen by The Ealing Vet before?

For new clients we kindly ask that your previous vet emails your pet’s clinical history to hello@theealingvet.co.uk at least 12 hours ahead of your appointment where possible.

Please briefly describe why your pet needs to be seen (for example: mild limp, feeling under the weather, routine health check, vaccinations, ongoing condition review, arthritis injection).

Are you concerned about your pet at the moment? If so, we offer a £27 triage telephone consultation, which is fully deductible from your consultation fee.

What type of appointment would you like?

Would you like to be seen as soon as possible?

Is your pet nervous or anxious? If so, we recommend a pre-visit telephone consultation so we can plan your visit as gently and comfortably as possible.

Please share your availability (or that of a trusted person), along with any dates or times you are unavailable. If you are short on time, we recommend requesting a morning appointment, as these tend to run closer to schedule with fewer delays.

Please let us know if you would like to include any of the following during your visit. For more information on treatment costs, please see our price list.

Do you require any flea or worming treatment, or ongoing medication? If so, please provide details including the medication name, quantity required, and your pet’s current weight.

Due to legal prescribing regulations, we are no longer able to issue parasite prevention prescriptions outside of a consultation. To avoid running out of treatment, we recommend planning your next 12 months’ parasite prevention with the vet before or during your appointment.

To ensure a smooth visit, we kindly ask that parking is available as close to your property as possible. Do you live on a road with limited access at certain times (for example, school streets). If so, please provide details

Does your road have parking restrictions? If yes, please include the days and times these apply. If your appointment falls within these hours, we ask that you arrange a visitor permit where possible.

Do you live in a building with more than two floors? If so, we may ask you to meet the vet outside at the time of arrival.

Preparing for Your Visit

The following questions are optional, but the more we know about you and your pet before we arrive, the better we can tailor your visit.

Is there anything we should know before your visit to help make it as calm, safe and stress-free as possible for you and your pet?

For example:

● Is your pet nervous, anxious or fearful?

● Is there a particular way they prefer to be handled or examined?

● Have any techniques worked well during previous veterinary visits?

● Are there any special requests, such as not ringing the doorbell because it upsets your pet?

● What are you hoping to get from today’s appointment?

● Does your dog usually wear a muzzle for veterinary examinations or procedures?

Please note:

● If your pet is nervous or anxious, we strongly recommend a pre-visit telephone consultation so we can discuss your pet’s individual needs and tailor our approach to make the visit as gentle and stress-free as possible.

● If your dog requires a muzzle for veterinary examinations or procedures, please ensure you have a well-fitting basket muzzle available for the appointment. Unfortunately, we are unable to supply muzzles as we cannot carry every size and shape. We recommend Baskerville® basket muzzles, which are widely available online, including from Amazon. Basket muzzles allow dogs to pant, drink and take treats while helping to keep everyone safe during the appointment.

Additional Information

Accessibility & Additional Needs

Please let us know if there is anything we can do to support you during your appointment, for example mobility needs, sensory sensitivities, communication preferences, or any other requirements.

Do you, or anyone attending the appointment with you, have any additional needs or special requirements that we should be aware of to help make the visit as comfortable and stress-free as possible?