Kitty Care Form

Client's Information

Cat's Information


Does/Is your cat… (please check one)

Aggressive?
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