Register Your Cat

Welcome to our Hospital. If you have any questions, please don’t hesitate to let one of us know. We strive to provide outstanding service to you and exceptional care for your cat.

We need to build a medical record for your cat. We ask that you take a few minutes to provide us with some information for our files.

Which practice would you like to register with?

Location

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PET INFORMATION

Cat's Name *

Colour *

Breed *

You cat's age (if not sure, best guess!)

Your cat's gender *

Do you have other pets?

How long has your cat lived with you?

Where did you get your cat?

Are they being dewormed regularly?

What do you feed your cat?

Who was your previous Veterinarian? (So that we may access their medical records)

Has your cat ever been tested for Feline Leukemia Virus? If yes, indicate where and when.

Has your cat ever been tested for Feline Immunodeficiency Virus? If yes, indicate where and when.

CLIENT INFORMATION

Full Name *

Email *

Address *

City

Province *

Postal Code *

Home Phone

Work Phone

Cell Phone *

If you would like your Spouse’s name added to the file, please provide it here:

If you were referred by a friend, who can we thank?
(Refer a friend and receive 50% off your next office exam)

Security Question *

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY * *