Silver Sands Veterinary continues their $75.00 Urgent Care Fee till March 1, 2025

SSV Urgent Care is here for your pet during a difficult economic time.

Fill out the Urgent Care On-Line Form and then call 203-877-3221!

Online Forms

Milford, CT

Urgent Care Form

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

Get Started

Online Forms

Please Complete and Submit this form online prior to your arrival at SSV.

Reason forUrgent Care Visit? *

Please upload any pertinent Medical Records

Click or drag files to this area to upload. You can upload up to 10 files.

Important Client Information

Owner's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Owner Cell Phone *

Owner Landline

Owner Work Phone

Owner Email *

Spouse/Partner Name

First

Last

Spouse/Partner Cell Phone

Spouse/Partner Email

If we are Unable to reach you, who may we contact in case of emergency? *

First

Last

Emergency Contact Phone *

Do you authorize this person to make urgent treatment decisions if you are unreachable?

Please list people and their phone numbers in addition to you primary care veterinarian to whom we may release information.

How did you hear about us?

Patient Information

Patient Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Color *

Weight *

Sex *

Male
Neutered Male
Female
Spayed Female

Name, Email, and Phone Number of your primary veterinarian. *

By listing your primary care veterinarian above, you are authorizing our hospital to release patient information to the hospital or veterinarian(s) listed. *

I understand

Why are you seeking an ER-Urgent Care visit? *

If this is an ongoing issue, how long has it been being treated?

Upload medical records from Veterinarian (pDVM) who has treated this problem in the past.

Click or drag files to this area to upload. You can upload up to 15 files.

Other Important Information

Please upload latest Rabies certificate:

Click or drag a file to this area to upload.

Has your pet ever had an adverse effect to Anesthesia or Sedation in the past? Please be detailed. *

Does your pet have an allergy to any drugs or medication? Please be detailed. *

I hereby authorize SV to render medical care for my pet (s) as deemed necessary by the veterinarian. *

Yes, I understand

I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. *

Yes, I understand

I understand that a deposit toward themedical plan isrequired before diagnostics and treatments can be initiated. *

Yes, I understand

I agree to pay for the cost of all services to which I grant verbal or written consent. *

Yes, I understand

I understand that payment in full is required prior to the discharge ofmy pet from SSV. *

Yes, I understand

I understand that in the event of any unusual or emergency circumstances, the staff of SSV ER-Urgent Care is authorized to render any treatment they deem necessary for the health of my pet(s. Astaff member will, time permitting, attempt to contact me or my designated representative, before proceeding with any emergencytreatment. In any event I acknowledge that I will be financially responsible for any emergency treatments. *

Yes, I understand

Please Upload a picture of your pet!

Click or drag a file to this area to upload.

Signature *

Clear Signature

Date *

Message

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.

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Location

17 Seemans Lane
Milford, CT 06460

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Contact Information

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

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Hours

Mon–Tues: 9:00 am – 5:00 pm
Wed: 9:00 am – 3:00pm
Thurs–Fri: 9:00 am – 5:00 pm
Sat: 8:30 am – 1:00 pm
Sun: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Name