Please note: following your appointment request, we will contact you as soon as possible to discuss how we may best help you at this difficult time. We will then confirm your appointment date and time via email with links to our online consent form.

Evening & Weekend appointments are limited and need to be prescheduled as our phones aren’t monitored during these times.

Please let us know your preference on the form & we’ll make every effort to meet your needs.

All fields with an asterisk are required.

Contact Details

Primary Caregiver/ Pet Owner *

First Name

Last Name

Address *

City / Town *

Postal Code *

Email *

Phone *

(###)

###

####

Preferred Contact Method *

Phone Call

Text

Family Veterinary Clinic(s)

Pet Details

Pet's Name *

Companion Animal *

Dog

Cat

Other small mammal (ex. rabbit)

Breed *

Colour *

Pet's Age *

Pet's Weight (lbs) *

Please estimate if not known.

Pet's Sex *

Male

Neutered Male

Female

Spayed Female

How can we help?

Requested Service *

Quality-of-Life (QOL) Consultation (via Telemedicine)

Peaceful In-Home Euthanasia

Pain Management & Home Palliative Care Consult [returning soon]

Asissi Loop (tPEMF) Lounge Therapy Consult

Please share with us what has been going on with your pet. *

What dates & times are you considering for your appointment? *

Aftercare Wishes

If your pet is being euthanized, please let us know how you would like to honour them.

Family-Directed Care (Home Burial or Aquamation/Water Cremation)

Communal Cremation with no ashes returned

Private Cremation with ashes returned

Unsure, I would like to discuss further

How did you hear about us?

Family/Friend

Vet/Vet clinic

Google etc. search

Facebook

Other

Thank you for choosing Black Creek Mobile Veterinary Services.

We understand that this is a very difficult and overwhelming time. We are committed to creating the most peaceful End-of-Life experience and are honoured to help you and your pet in your time of need.

If you do not receive a response within 24 hours, please call or text 226-779-5463.

Hours of Operation

Monday – Friday: 9 am – 4:30 pm

Same day appointments
may be available.

Pre-scheduled Evening & Weekend appointments are available.

blackcreekmobilevet@gmail.com

226-779-KIND (5463)

Request An Appointment

If your pet is in need of emergency services, please call and go to your family veterinary clinic or nearest emergency veterinary clinic immediately.

Request an Appointment

Client Registration Form

Thank you for reaching out to us to help you navigate your pet's End-of-Life journey.

Our Certified Peaceful Euthanasia Veterinarian travels to many homes within Perth County and beyond. We currently service a 40-50 km driving radius from our home base in Sebringville. Click here to check if you are within our house call area.

Our Certified Peaceful Euthanasia Veterinarian travels to many homes within Perth County and beyond.
We currently service a 40-50 km driving radius from our home base in Sebringville. Click here to check if you are within our house call area.