207-761-8033 CBVH@cascobayvet.vet

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Online Forms

New Client Form

Complete the form below, and we’ll get back to you as quickly as possible if we have any questions.

Husky

Owner's Name(Required)

First Last

New or existing client?(Required)

New Client

Existing Client

Email(Required)

Primary Phone(Required)

Secondary Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Who else is authorized to make decisions about your pet's healthcare?

First Last

Phone

How did you find out about our clinic?

Google

Yelp

Facebook

Friend or relative

Other

If other, please list

Where was your previous vet clinic?(Required)

Please type "NONE" or "N/A" if not applicable

Pet's Information

Pet's Name(Required)

Species(Required)

Breed(Required)

Age/Date of Birth

Sex(Required)

Is your pet spayed or neutered?(Required)

Yes

No

Does your pet have a microchip identification?(Required)

Yes

No

Current health concerns

Please type "NONE" or "N/A" if not applicable

History of previous or chronic illness or injury/previous surgeries

Please type "NONE" or "N/A" if not applicable

What does your pet eat? (Please be as detailed as possible):

Current medications or supplements:

Please include current flea, tick or heart-worm prevention

Add an additional pet?(Required)

Yes

No

Pet's Name(Required)

Species(Required)

Breed(Required)

Age/Date of Birth

Sex(Required)

Is your pet spayed or neutered?(Required)

Yes

No

Does your pet have a microchip identification?(Required)

Yes

No

Current health concerns

Please type "NONE" or "N/A" if not applicable

History of previous or chronic illness or injury/previous surgeries

Please type "NONE" or "N/A" if not applicable

What does your pet eat? (Please be as detailed as possible):

Current medications or supplements:

Please include current flea, tick or heart-worm prevention

I authorize Casco Bay Veterinary Hospital to use my pet's name and photograph in any promotional or educational materials.(Required)

I authorize

I do not authorize

Signature(Required)

We’re Excited to Meet You

We proudly serve the pets of Portland, ME, and beyond. We look forward to seeing you and your pet! Request an appointment by clicking the button below.

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Location

1052 Brighton Avenue
Portland, ME 04102

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Contact Information

Phone: 207-761-8033
Email: CBVH@cascobayvet.vet

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Hours

Mon-Fri: 8:00am – 6:00pm
Sat: 8:00am – 1:00pm
Sun: Closed

Have a Question?

Please complete the form below, and a member of our team will get back to you as quickly as possible.

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