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.

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Milford, CT

Telemedicine Patient Form

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

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Owner's Name *

First

Last

Email *

Who is your referring doctor (if applicable)?

Do you have a primary care doctor? *

Patient's Name *

Date of last rabies vaccination *

Current weight in lbs. *

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

LDVM-Local Doctor of Veterinary Medicine [Primary Care Doctor] *

Primary Reason for Appointment / Concern (please be as detailed as possible) *

I realize that no telemedicine diagnosis can be established without testing. If you elect not to pursue testing, you must call Dr. DeForge daily or email infoSilverSandsVeterinary.com daily and inform him immediately about any change in condition. Dr. DeForge will proceed with diagnostics, as you allow. I accept that veterinary medicine is an inexact science and that no guarantee of successful treatment has been made. I have read this statement and understand the nature of the procedure and accept the specific terms and conditions set forth. If your pet's condition worsens while under telemedicine care and consultation and Dr. DeForge is not available for an on-site visit, it is your responsibility to contact the nearest animal ER for 24/7 care and emergency diagnostics.

Silver Sands Veterinary is a hospital of compassionate care! Dr. DeForge realizes that your companion is as significant as a child in your home. He will always care for your pet with the love and concern that any pediatrician supplies to a child in their office.

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Online Forms

Milford, CT

Telemedicine Patient Form

Online Forms

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