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Veterinary Facility Online Registration

You must answer all questions completely and precisely. Misstatements, fraudulent, or insufficient answers and data required will be reason for rejection of your application.

While you are in the online registration, please do not use the back button in your browser. If at any time you wish to exit the process, please click the "Exit" button located at the bottom of the page.

If you will be away from your computer for any period of time after starting your online application, it is strongly advised that you click on the "Save for Later" button located at the bottom of each page to minimize the risk of losing the data that you have input into the system. You can then log back into the application at a later time by clicking on the "Continue Saved Veterinary Facility Registration" button in the menu.

Applicant Information

Are you registering prior to opening?

  • Stationary is a fixed, non-moveable structure.
  • Emergency is a facility that provides after hours or 24-hour emergency care.
  • Mobile is a facility that may be transported or moved from one location to another. With this type of practice, the patient is examined in the mobile unit.
  • Ambulatory provides a professional visit to the location of a patient or client and includes house calls and farms calls.

Facility Operation

Anesthesia
Dental
Radiology
Surgery

Is the veterinarian operating this facility the facility owner?

Primary operation of this facility:

Employees

Click below to add fields for additional veterinarians.

Does facility employ any registered veterinary technicians, either full or part time?

Click below to add fields for additional RVTs.

Ownership

Are there other veterinary facilities in WV under the same ownership?




Page Updated: 3/29/2016 11:32:51 AM