belmontanimalhospitalnc@gmail.com
704-266-3440


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Appointment

Home
About
Services
Resources
Contact
Shop Now
Appointment

Urgent care and same-day appointments available!

ONLINE FORMS

DROP-OFF CONSENT FORM

Save time during your appointment! Complete your required forms online from any device at any time before your visit.

Drop-Off Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Name *

First

Last

Email *

Phone *

Check-In Date *

Check-Out Date *

Pet's Name *

Emergency Contact *

First

Last

Emergency Contact Phone *

If a critical/life threatening problem develops and we can't reach you, may we treat your pet(s)? *

Yes
No

How much do you authorize Belmont Animal Hospital for treatment? *

I authorize any amount necessary for the treatment of my pet at Belmont Animal Hospital.
I authorize a maximum amount to be used towards my pet's care at Belmont Animal Hospital.

Please specify the maximum $ amount to be used toward your pet's care. *

Please list feeding instructions. *

When is your pet due for their next meal? *

Did you bring food for your pets? *

Yes
No

Please list any medications that your pets need while boarding, along with instructions.

Are you leaving any of the following?

Collar/Leash
Carrier
Bedding
Other

Please explain. *

Please list any procedures you would like performed during your pets' stay: (e.g. nail trim)

NOTICE: Personnel are not on the premises at night and other times when the Belmont Animal Hospital Clinic is not open for business. *

I have read and understand.

Name

READY FOR A VISIT?

Schedule Your Appointment

Thank you for considering Belmont Animal Hospital. We proudly serve Belmont, Mt Holly, McAdenville, Gastonia, Lake Wylie, and West Charlotte. We’re excited to meet you and your pets and embark on this journey together. Please click below to make an appointment.

Book Appointment

Have Questions?

Please contact us! Fill out our online form, and a member of our staff will contact you shortly.



Our Location

1806 South Point Rd
Belmont, NC 28012



Contact Us

Call: 704-266-3440
Email: belmontanimalhospitalnc@gmail.com



Our Hospital Hours

Mon – Fri: 8:00 am – 5:30 pm
Sat: 8:00 am – 2:00 pm
Only open the first Saturday of the month

Name *

First

Last

Email *

Phone

How can we help you? *

Name

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