Poland Veterinary Centre

6609 Clingan Rd.
Poland, OH 44514

(330)757-8868

www.polandvet.com


New client registration form
*First name
*Last name and title
*E-mail
Spouse
*Address
*Phone number
Additional phone #
*Patient name(s)
*Patient species
*Patient date of birth
*Patient breed, sex, and color
Name of previous veterinary hospital
Phone number to request previous records
*Today's date
*Appointment date
Additional comments
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6609 Clingan Rd.
Poland, Ohio 44514

Phone: (330)757-8868
Fax: (330)757-3092

Email: polandvet@yahoo.com

Hours of Operation:
Monday 8:30 a.m. - 5:00 p.m.
Tuesday 8:30 a.m. - 8:00 p.m.
Wednesday 8:30 a.m. - 5:00 p.m.
Thursday 8:30 a.m. - 8:00 p.m.
Friday 8:30 a.m. - 5:00 p.m.
Saturday 8:30 a.m. - 12:00 p.m.
Sunday Closed

*Hours of operation may vary on national holidays
*Patients are seen by scheduled appointment only