203-877-3221 doctordeforge@yahoo.com

Facebook
X
Instagram

Facebook
X
Instagram

Home
About
Services
Resources
FREE APP
Contact
Click here for On-Line Pharmacy!
Appointment
- Email To Request An Appointment
- Download the App

Select Page

We offer same-day urgent care by appointment – we are NOT a walk-in clinic. Please call ahead so we can minimize your wait time.

heart paw watermark

heart paw watermark

Online Forms

Milford, CT

Oral Patient Form

Save time at your next appointment by filling out your forms online.

Online Forms

Oral Patient Form

Please read the booklet below and complete the form before your visit.
Oral Patient Care

Signature

Clear Signature

Signing here acknowledges you have read and understood the document above.

Name *

First

Last

Email *

Owner Cell Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Who is your referring doctor (if applicable)?

Do you have a primary care doctor? *

Yes
No

If yes, please enter your Doctor's Name *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Pet's Name *

Species *

Dog
Cat

Breed *

Sex *

Male
Male (Neutered)
Female
Female (Spayed)

Age/Date of Birth *

Date of last rabies vaccination *

Current weight in lbs. *

If your pet is taking any medications, please list below:

Items accompanying your pet's visit with Dr. DeForge (email reports to DonDeForge100@gmail.com and doctordeforge@yahoo.com) *

Dental X-rays
Full medical records
Blood work
Medication
Other

If other, please specify *

Last dental treatment (please include doctor, hospital, and date of treatment) *

Do you have dental X-rays from your last oral care visit? *

Yes
No

Primary oral problem (please include a detailed description of the problem, its location, duration, and progression, as well as treatment to date and their effect) *

Is your pet currently taking any medication? *

Yes
No

General Veterinarian's Name

First

Last

Hospital Name

Phone

Fax

Hospital Email

Do you wish your general veterinarian to be contacted and sent full reports from Dr. DeForge after he completes treatment?

Yes
No

What type of appointment would you like your recheck to be? *

Onsite
Virtual video telemedicine conference
With Dr. DeForge

How did you hear about us? *

Website
Personal Reference
Google Search
Other

If Other, please explain: *

Comment

Ready to visit?

We proudly serve the pets of Milford, CT and beyond. We look forward to seeing you and your pet! Request an appointment by clicking on the button below. If you need immediate assistance, please call us directly at 203-877-3221.

Appointment
- Email To Request An Appointment
- Download the App

Have a question?

Use the form below to ask any questions and a member of our team will get back to you as quickly as possible.



Location

17 Seemans Lane
Milford, CT 06460



Contact Information

Phone: 203-877-3221
Fax: 203-877-8301
Email: doctordeforge@yahoo.com



Hours

Monday: 9:00am – 5:00pm

Tuesday: 9:00am-4:00pm (telemedicine only)

Wednesday: 9:00am-3:00pm

Thursday: 9:00am-4:00pm (telemedicine only)

Friday: 9:00am-3:00pm

Saturday: 9:00am-12:00pm (telemedicine only)

Sunday: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Phone

© 2026 Silver Sands Veterinary | Privacy Policy | Powered by PetDesk