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Baer Puppy Information Form

Please fill out the form below as completely as possible!

Name *

First

Last

Email *

Puppy's Name As It Should Appear On The Official Form

Color (Be Specific And Note Unique Markings)

Sex

Male
Female

Puppy's Date Of Birth

Breed

Is there any additional information you would like to appear on the form, such as an AKC registration number or microchip number?

Add another puppy?

Yes
No

Puppy's Name As It Should Appear On The Official Form

Color (Be Specific And Note Unique Markings)

Sex

Male
Female

Puppy's Date Of Birth

Breed

Is there any additional information you would like to appear on the form, such as an AKC registration number or microchip number?

Add another puppy?

Yes
No

Puppy's Name As It Should Appear On The Official Form

Color (Be Specific And Note Unique Markings)

Sex

Male
Female

Puppy's Date Of Birth

Breed

Is there any additional information you would like to appear on the form, such as an AKC registration number or microchip number?

Add another puppy?

Yes
No

Puppy's Name As It Should Appear On The Official Form

Color (Be Specific And Note Unique Markings)

Sex

Male
Female

Puppy's Date Of Birth

Breed

Is there any additional information you would like to appear on the form, such as an AKC registration number or microchip number?

Add another puppy?

Yes
No

Puppy's Name As It Should Appear On The Official Form

Color (Be Specific And Note Unique Markings)

Puppy's Date Of Birth

Sex

Male
Female

Breed

Is there any additional information you would like to appear on the form, such as an AKC registration number or microchip number?

Add another puppy?

Yes
No

Puppy's Name As It Should Appear On The Official Form

Color (Be Specific And Note Unique Markings)

Puppy's Date Of Birth

Sex

Male
Female

Breed

Is there any additional information you would like to appear on the form, such as an AKC registration number or microchip number?

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Request Your Consultation

Please call (207) 885-1290 to book a consultation.

Do you think your pet may have ingested something poisonous? Please call the ASPCA Animal Poison Control Center at 888-426-4435.

Note: A consultation fee may apply.

Contact Maine Veterinary Medical Center

We would love to hear from you! You can complete the below form for general questions or comments.



Address

1500 Technology Way
Scarborough, ME 04074



Phone



Email

reception@mvmc.vet



Hours

Open 24/7

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