 832-810-4299 … info@lonestaranimaldentist.com… 1100 Smith Drive, Alvin, TX 77511…

Home
About
Services
Resources
Contact
Appointment
Referrals

We look forward to seeing you!

Please choose from one of the below options to request an appointment.

New Clients

Please complete our New Client Form to request an appointment. Once completed, a member of our team will reach out to confirm your appointment.

Existing Clients

Please complete our Appointment Request Form, and a member of our team will reach out to confirm your appointment.

Referral Partners

Please complete our Referral Form to refer a patient to Lone Star (for veterinarians).

Online Forms

Agency Owned Animal Form

Agency Owned Animal Form

Date *

Agency Name *

Select One *

Animal Control
Police Department
Rescue Organization

Handler/Foster (if applicable)

Phone Number

Medical Decisions:

Name *

Position *

Phone *

Email *

Financial Decisions:

Name *

Phone

Email *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Purchase Order Number (if applicable)

Referred By/Veterinary Hospital:

Name *

Phone

Additional Veterinary Hospital for Records:

Name

Phone

Species *

Cat
Dog

Patient Name *

Date of Birth *

Sex *

Male
Female

Neutered or spayed *

Yes
No

Breed *

Color *

Reason for Referral:

Please list any other health issues *

Is the animal currently receiving any medications? *

Yes
No

If yes, please list: *

Is the animal allergic to any medications? *

Yes
No

If yes, please list: *

Has the animal had any known complications during anesthesia? *

By signing below, you hereby authorize Dr. McCoy and/or his associates of the Texas Veterinary Dental Center to examine and treat the described dogs listed in your file. You agree to maintain your relationship with your primary veterinarian for health and wellness issues not related to dentistry. You and/or the represented agency also assume financial responsibility for the care of your pet(s). Permission to release medical history is also granted, unless otherwise stated or revoked. PAYMENT IS DUE IN FULL WITHIN 30 DAYS *

I Agree and Understand

Signature(s) of Financial & Medical Decision Maker(s) *

Date *

We’re Excited to Meet you

Book an Appointment

We proudly serve the pets of the greater Houston area, Texas Gulf Coast, and surrounding areas. We look forward to seeing you and your pet. Easily request an appointment for your pet by clicking the button below!

Have A Question?

Fill out our online form, and a member of our team will get back to you as quickly as possible.



Location

1100 Smith Drive
Alvin, TX 77511



Contact Information

P: 832-810-4299
E: info@lonestaranimaldentist.com



Hours

Mon – Thurs: 7:00 am – 5:00 pm
Fri: Closed but voicemails left between 8AM and 12PM on Fridays will be returned that same day.

Sat-Sun: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Message

© 2024 Lone Star Dentistry & Oral Surgery for Animals | Powered by WhiskerCloud