Animal Hospital of Waterville

We will treat your pet as if it were our own.

Hours

Doctor's Hours:
Mon, Tue, Fri - 8am to 5pm
Wed, Thu - 8am to 7:15
Sat - 8am to 3:30pm
Emergencies after these hours will be directed to AEC (Lewiston) or EMEC (Brewer)

 

The Office is Open:
Mon, Tue, Fri - 7am to 6pm
Wed, Thu - 7am to 8pm
Sat - 8am to 5pm
For patient drop off & pickup, medicine & supply pickup, scheduling, etc.

Question? Ask Us!

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New Client Information Form

Thank you for the opportunity to care for your pet!
Please help us to meet your needs more effectively by completing this information sheet.
Owner's Name (*)
Please let us know your name.
Spouse/Other Name
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Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Home Phone
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Work Phone
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Cell Phone
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Driver's License
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State
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Date of Birth
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Your Email (*)
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How did you hear about our clinic?
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If other or friend, please explain
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Pet Information

Pet's Name
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Sex
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Type of Pet
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If Other, please enter
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Breed
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Description
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Age
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Date of Birth
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Microchip #
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Diet
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Vaccine History (date of last shots)

Has your pet been to a veterinarian in the past year?
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Name of previous veterinary clinic
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Date of Last Rabies (dog/cat)
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Type of Rabies Vaccine
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DHLPP (distemper parvo, dog) 1st Date
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DHLPP 2nd Date
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DHLPP 3rd Date
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Bordetella (kennel cough, dog)
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FVRCP (feline distemper, cat) 1st Date
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FVRCP 2nd Date
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FELV (feline leukemia, cat) 1st Date
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FELV 2nd Date
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Other Vaccines and Dates
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Tests

Feline Leukemia (cat)
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Feline Leukemia Result
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FIV (Cat)
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FIV Result
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Heartworm (dog)
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Heartworm Result
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Type of Heartworm Preventative
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Other Heartworm Preventative
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Fecal (dogs, cats)
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Fecal Result
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Medical History

Allergies
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Medical Condition
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Medications
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Dentistry
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Dentistry Date
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Prior Surgeries
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Prior Surgery Date
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Other History
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Signature of Owner/Agent: ________________________________________________________
We may ask you to sign this form at your appointment.
Please enter the security code (*)
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