Kitty Care Form

Client's Information

Cat's Information

Does/Is your cat… (please check one)

Ever bitten a human?

Reliably use the litter box? YesNo
Allowed outdoors? YesNo

Comfortable with strangers? YesNo
Declawed? YesNo

Enjoy being held/petted? YesNo
Prone to hairballs? YesNo

Spayed? YesNo
Try to escape? YesNo

Have any known allergies? YesNo
Comfortable with dogs? YesNo

On any medications? YesNo

If “yes” please fill in Medication Dosing Schedule

Schedule of Visits

Please provide any additional information about your cat below (preferred hiding places, favorite toys, etc.)

Veterinarian's Information