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We provide veterinary ophthalmology services to dogs and cats. Located in Carmel Indiana. We serve Indianapolis and the surrounding areas.

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New Patient Form

vision. passion. purpose.

Please fill out the information below! We can’t wait to meet you and your best friend!

About You
Your Name:*
First Last
Your Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
What is the best place to reach you by phone?*
- Work
- Home
- Cell
- Other
Best Phone Number:*
Seconary Phone Number:
Partner/Spouse Name (if applicable):
First Last
Partner/Spouse Phone Number (if applicable):
Your Email (for discharges and receipts only):*
Family Veterinarian
Your Family Veterinarian/Name of Clinic (They’ll get updates about your visits):
Were you referred to us by a veterinarian?
- Yes
- No
If so, which one?
Tell us who referred you.
About Your Best Friend
Your Pet’s Name:*
First
Breed:*
Age:*
Male or Female:*
- Male
- Female
Neutered or spayed?:*
- Yes
- No
Weight:*
What is the general problem?*
(e.g. my dog/cat’s right eye has been squinting, my dog/cat’s left eye has been red, there is a lot of discharge coming from both eyes, etc.)
Eye/s affected:*
- Left
- Right
- Both
How long has this problem been going on?*
Has your pet experienced any eye problems prior to this one?
- Yes
- No
Is the condition getting worse, better or staying the same?
- Worse
- Better
- Same
What previous medications has your pet been prescribed for the eyes? (Please bring all medications with you to your appointment)*
List medication and frequency of administration
Does your pet have eye discharge?*
- Yes
- No
If yes, check all that apply.
- Watery
- Mucoid (aka goopy)
- Mucopurulent (aka yellow-green and pus-like)
Is your pet experiencing any of these symptoms, check all that apply:*
- Redness
- Squinting
- Eye cloudiness
- Swelling or displacement of the eye/s
- Poor vision (e.g. running into objects, inability to find treats on the floor, difficulty with stairs, etc.)
- No
Is your pet on any of the following medications?
(check all that apply) Please note, flea and heartworm medications and over the counter supplements will not affect our diagnosis or treatment (aka you do not need to include these).
- Cushing’s medications (e.g. trilostane, mitotane)
- Heart medications (e.g. benazepril, furosemide [Lasix], pimobendan [Vetmedin])
- Medicated arthritis medication (e.g. carprofen, Galliprant, meloxicam, Rimadyl)
- Prednisone or other oral steroids (pills given by mouth)
- Thyroid medication (e.g. levothyroxine [Soloxine])
- None (other than over the counter supplements and flea/heartworm prevention)
Is your pet a diabetic?*
- Yes
- No
Have you been told by a veterinarian that your pet has a heart murmur?*
- Yes
- No
Social Media - Follow us on Facebook!
Allow social media sharing?*
Animal Eye Clinic would love to share your pet’s picture/name on social media, especially since they are the cutest pet out there! ** Please note - we will never use pet parent names ** Follow us on Facebook.
- Yes, please share.
- No, thank you.
Signature
Sign here please! We can’t wait to see you!!*
Please type your name.
Notice of Cancellation*
A $30 fee will be assessed if you fail to provide notice of cancellation 24 hours prior to your appointment. If you fail to arrive for an appointment without notification, prepayment for the next visit will be necessary to reschedule.
- I understand and accept AEC's 24 hour cancellation policy.
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We’re Open!

Monday 9am – 4:30pm
Tuesday 9am – 4:30pm
Wednesday 9am – 4:30pm
Thursday 1pm – 4:30pm
Friday 9am – 4:30pm

Call us at (317) 999-7873 or at
info@indyaec.com

Payment Methods Accepted
For your convenience, we accept Apple Pay, Visa, MasterCard, American Express, Discover and financing options through Care Credit.

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More about Dr. Davis

Dr. Davis is passionate about pet eyes, enthusiastic about Colts football and adores dogs. Her education makes her a great ophthalmologist, but her heart makes her a great doctor. Read More…

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Contact Us

Animal Eye Clinic
14637 North Gray Rd
Westfield, IN 46062
(at Bridgewater Marketplace)
(317) 999-7873

info@indyaec.com

We’re Open

Monday 9am – 4:30pm
Tuesday 9am – 4:30pm
Wednesday 9am – 4:30pm
Thursday 1pm – 4:30pm
Friday 9am – 4:30pm

About You

Family Veterinarian

About Your Best Friend

Social Media - Follow us on Facebook!

Signature

More about Dr. Davis

let’s stay connected!

Contact Us

We’re Open

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