Skip to content
Keyboard Accessible Menu
(203) 939-9590
Online Pharmacy
The Nancy Fund
Schedule an Appointment
Employment Opportunities
Spay/Neuter Calculator
Home
About
Sherif Lawendy, VMD
Aubree Zubovic, DVM
Support Staff
Business Development Consultants
Employment Form
Services
Wellness Care
Kitten Care
Puppy Care
Senior Pet Care
Vaccinations
Microchipping
Wellness Care FAQs
Low Cost Spay / Neuter
Spay/Neuter Pricing and Policies
Dental Care
Dental FAQs
General Veterinary Care
Urgent Pet Care
In-House Laboratory
In-House Pharmacy
Radiology
Ultrasound
Endoscopy
Travel Certificates
Surgery
Spay / Neuter Surgery
Soft Tissue Surgery
Orthopedic Surgery
Locations
Connecticut
Monroe CT
Norwalk CT
Illinois
Chicago at Lincoln Yards
Schorsch Village
Resources
Mobile Vet
501 (c) Organizations
Prescription Refills
Contact
Emergency
Menu
Home
About
Sherif Lawendy, VMD
Aubree Zubovic, DVM
Support Staff
Business Development Consultants
Employment Form
Services
Wellness Care
Kitten Care
Puppy Care
Senior Pet Care
Vaccinations
Microchipping
Wellness Care FAQs
Low Cost Spay / Neuter
Spay/Neuter Pricing and Policies
Dental Care
Dental FAQs
General Veterinary Care
Urgent Pet Care
In-House Laboratory
In-House Pharmacy
Radiology
Ultrasound
Endoscopy
Travel Certificates
Surgery
Spay / Neuter Surgery
Soft Tissue Surgery
Orthopedic Surgery
Locations
Connecticut
Monroe CT
Norwalk CT
Illinois
Chicago at Lincoln Yards
Schorsch Village
Resources
Mobile Vet
501 (c) Organizations
Prescription Refills
Contact
Emergency
Online Pharmacy
The Nancy Fund
Employment Opportunities
Employment Form
Name
(Required)
First
Middle Initial
Last
Contact Information
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Veterinary education information:
School of vet medicine graduated from
(Required)
Year graduated and degree earned
(Required)
Years in practice
(Required)
Type of practice
(Required)
Additional degrees/specialties
Association memberships
License information
Current State of practice
(Required)
Additional State licenses held, if any
Do you have a DEA license?
Are you USDA certified?
Are you currently practicing?
(Required)
Yes
No
Have you ever been the recipient of any veterinary disciplinary action in any jurisdiction?
(Required)
Yes
No
When?
(Required)
Explain
(Required)
Continuing Education
What are your State’s CE requirements?
(Required)
Are you current with your annual CE requirements?
(Required)
What are your preferred CE Conferences?
(Required)
Surgical Experience
How many years have you been practicing veterinary surgery?
(Required)
Comfort level with spay/neuters
(Required)
Not comfortable
Somewhat comfortable
Very comfortable
Expert level
Comfort level with medical/surgical services other than spay/neuter/wellness; please check off all that you feel comfortable:
(Required)
Skin growth removal
Skin mass removal
Limb amputation: digit distal limb upper limb
Enucleation
Entropion
Abdominal exploratory
Gastrointestinal surgery: resection/anastomosis enterotomy gastrotomy
Splenectomy
Orthopedic surgery: ACL repair fracture repair with pins/plates/screws MPL repair
Perineal Urethrostomy
Urethrotomy
Cystotomy
Other surgery
List what other surgeries you feel comfortable performing
(Required)
Professional Aspirations: please check all that apply
(Required)
Relief work
Part time work
Full time work
Practice owner / partner
Upload Resume / Biography here
(Required)
Drop files here or
Select files
Accepted file types: pdf, doc, docx, Max. file size: 2 MB, Max. files: 4.
Enter Today's Date
(Required)
MM slash DD slash YYYY
Signature
(Required)
Best way / time to contact you: ( cell phone email other phone)
(Required)
Comments
This field is for validation purposes and should be left unchanged.
