We will be closed June 4th–7th. See you June 8th!
Urgent Veterinary Care

Prompt veterinary care for minor emergencies — without the ER wait.

Most of what an ER offers, without the long waits or high costs. Schedule online and wait comfortably at home.

⏰ Hours of Operation
Monday10:00 AM – 8:00 PM
Wednesday10:00 AM – 8:00 PM
Saturday11:00 AM – 7:00 PM


ER, Urgent Care, or Your Regular Vet?

Use this quick guide to figure out the right level of care for your pet. When in doubt, call us at 425-368-7400.

✔ Come to Us

Stable but needs attention today — this is exactly what we're here for.

  • Limping or lameness
  • Vomiting or diarrhea (alert and stable)
  • Eye discharge, redness, or squinting
  • Ear scratching, head shaking, odor
  • Skin irritation, rash, or hot spots
  • Minor cuts, wounds, or broken nails
  • Suspected toxin ingestion (stable pet)
  • Lethargy or low energy
  • Mild allergic reaction
  • Pain or discomfort
  • Coughing or sneezing
  • Weight loss or appetite changes

🚨 Go to the ER

Life-threatening emergencies need an ER equipped for critical care.

  • Difficulty breathing or open-mouth breathing
  • Unresponsive or collapsed
  • Active or uncontrolled seizures
  • Severe trauma (hit by car, fall, attack)
  • Major or uncontrolled bleeding
  • Unable to urinate (especially male cats)
  • Distended or bloated abdomen
  • Pale, blue, or white gums
  • Known toxin ingestion with symptoms
  • Suspected spinal injury
  • Difficult or prolonged labor
  • Eye proptosis (eye out of socket)

Still not sure? Call us at 425-368-7400 and we'll help you figure out the right next step — no appointment needed just to ask.


Dr. Andrew Rocco

Dr. Andrew Rocco — founder of North Sound Veterinary Urgent Care, Mill Creek WA
Dr. Andrew Rocco
Founder & Medical Director

Dr. Andrew Rocco grew up right here in Mill Creek — so when he set out to build a better way to access veterinary care, he built it for the community he's always called home.

After graduating from Washington State University's College of Veterinary Medicine in 2015, he spent years working in emergency and specialty hospitals, serving as Medical Director at several ER and specialty centers. Over more than a decade in practice, he developed deep expertise in emergency medicine, internal medicine, and diagnostic imaging.

Working in ERs, something kept bothering him: stable pets with real urgent needs were waiting for hours — or going without care — because they didn't quite fit the emergency mold and couldn't get a same-day appointment elsewhere. North Sound Veterinary Urgent Care is his answer: most of what an ER offers, in the community he grew up in, without the wait or the cost.

Outside the clinic he's cheering on the Everett Silvertips, wrangling his three sons, and being supervised by five cats and a bird.

🎓Washington State University, DVM 2015
🏥11 years in veterinary medicine
⚕️Emergency & internal medicine, diagnostic imaging
📋Former Medical Director, multiple ER & specialty centers
📍Mill Creek native
🐾5 cats, 1 bird, 3 sons

5.0
★★★★★ 12 reviews

Trusted by Pet Owners
Across the North Sound

Verified Google Reviews
★★★★★

"Can not thank Dr. Rocco and the team enough with the wonderful service and care provided to my pet. A great experience with a thorough exam of my pet, lab testing and creating a treatment plan. Fantastic and prompt follow up, after the visit as well."

C
Cady
Google Review · 2 months ago
★★★★★

"Dr. Rocco was very kind and has so much experience. He is very smart and really helped my cat. I highly recommend everyone to visit Dr. Rocco. We will always be going to Dr. Rocco and Dr. Rocco's assistant. You guys are awesome."

D
Daimyo Lord
Google Review · 2 months ago
★★★★★

"Our little english bully Remy was having an issue with her dew claw that she snagged on something at home. They helped avoid a costly emergency room trip. Very efficient and quick turn around."

G
Gene Johnson
Google Review · 2 months ago
See All Reviews on Google →

Services We Provide

We're equipped with most of what an ER offers. Use the decision guide below if you're not sure we're the right fit.

🧪

Same-Day Bloodwork

🔬

Urinalysis

🧫

Cytology

💊

In-House Pharmacy

💧

Fluids (IV & SQ)

👂

Ear Cleaning & Treatment

🤢

Vomit Induction

✂️

Nail Trimsadd-on

🫧

Anal Sac Expressionadd-on

🩻

X-RaysComing Soon

📡

UltrasoundComing Soon

💉

SedationComing Soon

🩹

Minor Wound RepairComing Soon

😴

Sedated ProceduresComing Soon

🕊️

EuthanasiaComing Soon

Book an Appointment

Serving the North Sound

Conveniently located in Mill Creek, we're easily accessible from communities throughout Snohomish County and North King County.

Mill Creek, WA Bothell, WA Lynnwood, WA Everett, WA Mukilteo, WA Marysville, WA Edmonds, WA Snohomish, WA Monroe, WA Mountlake Terrace, WA Silver Lake, WA Silver Firs, WA Thomas Lake, WA Eastmont, WA

Abdominal Ultrasound

Full abdominal ultrasounds with specialist radiologist interpretation — coming soon to our facility.

A Non-Invasive Window Inside Your Pet

An ultrasound uses safe, painless sound waves to produce real-time images of your pet's internal organs — similar to the ultrasounds used in human medicine. Unlike X-rays, which are best suited for bones and lungs, ultrasound excels at visualizing soft tissue structures: the liver, spleen, kidneys, bladder, intestines, lymph nodes, and more.

It can detect masses, fluid accumulation, organ enlargement, bladder stones, and many conditions invisible on a standard X-ray — making it one of the most powerful diagnostic tools in veterinary medicine.

We will perform full abdominal ultrasounds at our facility, capturing still images and video clips (cineloops) of each organ. Those are then sent to a board-certified veterinary radiologist for specialist-level interpretation.

What to Expect
🌙
Fast Overnight

Your pet must not eat for 8–12 hours before the appointment. Food in the stomach obscures organ views and reduces image quality.

🚗
Drop-Off Service

Pets are typically dropped off. You're welcome to head home or run errands while we take care of everything.

💉
Sedation & Shaving

Most pets require light sedation to stay still. The abdomen will be shaved — fur interferes with the probe's contact with the skin.

Results & Turnaround
Standard1–2 business days
STATAvailable on request

A board-certified veterinary radiologist reviews all images and provides a written report. Our team will walk you through the findings and next steps.

Coming Soon

Peaceful Goodbye

Compassionate, dignified end-of-life services and cremation through West Coast Pet Memorial — coming soon to our facility.

A Gentle, Peaceful Passing

Saying goodbye to a beloved pet is one of the hardest things a pet owner can face. When the time comes, we will be here to make the process as calm, gentle, and dignified as possible — for both your pet and your family.

Euthanasia is a peaceful, two-step process. First, your pet receives a sedative so they drift into a deep, comfortable sleep — completely relaxed and free from anxiety or discomfort. A second medication is then administered, gently stopping the heart. The entire process is quiet and painless.

You are welcome to be present and hold your pet throughout. We'll give your family all the time and space you need, before and after. There is no rush.

By appointment only. Please call us at 425-368-7400 or book online. We understand this is an emotional time and will do our best to accommodate your schedule promptly.
What to Expect
🏠
Private, Quiet Space

Your appointment is given private space and unhurried time. Family members are welcome to be present.

💤
Sedation First

Your pet is fully relaxed with a sedative before any further medication — no anxiety, no discomfort.

🕊️
Peaceful & Painless

Your pet simply falls into a permanent, peaceful sleep. The process is gentle and quick.

Cremation Services

We will partner with West Coast Pet Memorial to offer cremation services, so you won't need to make separate arrangements during a difficult time. Our team will coordinate everything on your behalf. Options and details will be discussed at the time of your appointment.

Coming Soon

Policies & FAQ

Everything you need to know before your visit.

We are appointment-only, scheduled exclusively online. Walk-ins are welcome to book on the spot and return at their scheduled time. We do not accept phone bookings. Book here →
Yes — we see both dogs and cats for all conditions and services we offer.
Debit and credit cards only — no cash or checks. Payment is due at time of service. Estimates are available upon request.
Regular vets often can't see you same-day. ERs triage by severity — stable pets can wait hours. We fill that gap: same-day appointments, on time, with most ER capabilities, for cases that don't require surgery or hospitalization.
Angled and parallel street parking is available out front, plus parking in the rear. Street parking fills quickly — do not park in numbered or reserved stalls as you may be ticketed or towed.
Parking map
We cannot perform major surgery requiring an operating room or provide overnight hospitalization. If your pet needs either, we'll stabilize them and refer you to the nearest emergency hospital right away.
We don't bill insurance directly, but we provide itemized receipts you can submit for reimbursement depending on your plan.
Yes — we offer sedation for pets who need a little extra help staying calm. Let us know when you book and we'll be prepared.

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Contact Us

Our Location
4008 133rd St SE #123
Mill Creek, WA 98012
Get Directions →
Phone
Hours of Operation
Mon10am – 8pm
TueClosed
Wed10am – 8pm
ThuClosed
FriClosed
Sat11am – 7pm
SunClosed

Send Us a Message

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