• 311 West Gray St, Suite A Houston, TX 77019 Phone: 832-701-0077 info@furandfeathervet.com www.furandfeathervet.com
    Fur & Feather Veterinary Hospital

  • New Client Form

    Thank you for the opportunity to care for your beloved pet. Our goal is to treat your pet with the same love and quality care that we would with our own, and to provide the highest quality service. We take an integrative approach for the best health care with strong emphasis on nutrition as a base for excellent health. Please help us meet your needs and the needs of your pet by sharing the following important information:

  • Pet Owner's Name: *   *   

    Address:   
             

    Home Phone:     Cell Phone:      

    Email Address:   *   

  • Employer:      

    Work Phone: 

  • *** Please understand that your appointment can not be scheduled until we have all available veterinary records on hand (can send to Info@FurAndFeatherVet.com).

          Having these documents will help Dr. Luper and the technicians familiarize themselves with your pets veterinary history.

  • Significant Other/Co Owner:

    Cell Phone:      

    Address:                                 
       

  • Emergency Contact:
          

    Cell Phone:      

  • PET INFORMATION

  • If Yes, please indicate quantity:

    Dogs:    Cats:     
     
    Birds:    Reptiles:       

  • We are Fear Free Certified and want to make this visit as easy as possible for all pets.

  • This allows your pet to have a happy first impression without any procedures it may be anxious about. It also allows our doctor to determine if herbal or medicinal help is warranted to give your pet prior to next the wellness visit in which procedures will be done.

    Please call us 48 hours prior to your scheduled appointment if you would like to switch to a Fear Free Exam, or if you would like more details.

  • How is your pet doing?

  • Tell us about your pet's activities

  • Nutrition

  • What kind of food do you feed your pet?
    Please specify brand/types and how often of each:

    DRY BRAND
    Brand/Protein(s):    How often/much:      

    CANNED BRAND
    Brand/Protein(s):    How often/much:  

    COOKED/MEAL-PREPPED
    Brand/Protein(s):    How often/much:      

    RAW BRAND
    Brand/Protein(s):    How often/much: 

    TREATS
    Brand/Protein(s):    How often/much: 

  • Current or Previous Medical Conditions

  • Medications

  • List all medications, supplements, and herbals your pet is currently receiving:

    Brand/Type:    Dosage:      

    Brand/Type:    Dosage:    

    Brand/Type:    Dosage:    

    Brand/Type:    Dosage:    

  • Vaccination and Medical History

  • Name of Hospital/Clinic where records can be obtained?:

    Hospital/Clinic: *    Phone:  *   

    Email:      

    *Many hospitals/clinics require owner release of their pet's records

  • Heartworm Preventative

  • Name of Heartworm Preventative: 

  •  / /

  • Flea/Tick Control Products

  • Flea/Tick Products used?

    Pet:

    House:

    Yard:      

  • Dental Care

  •  / /

  • Identification

  • Pet Insurance

  • We gladly provide a written Health Care Plan with associated professional fees. This will be important to you since ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. In cases of extensive medical or surgical procedures, when full payment may be difficult at discharge, we accept Visa, Mastercard, American Express, Discover, or Care Credit.

  • Fur & Feather Veterinary Hospital

  • Thank You for being a valued client with Fur & Feather!

    We are updating our Cancellation Policy

    as follows:

     

    As of May 1, 2024, all appointments with the Doctor will require a Scheduling Fee.

    Scheduling Fees are non-refundable for cancellations made within 24hrs of the scheduled appointment time.

    Cancellations made prior to the 24hr window may have a partial refund returned to the card used to make the payment (minus $14 Processing Fee).

    ***The full Scheduling Fee amount may be utilized as a Credit on Account for future services.

    We appreciate your understanding as we strive to provide excellent service to our patients in need!

  • Client Name:     *   *   

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  • The following are considered to be alternative therapy in veterinary medicine, and are used in conjunction with other conventional treatments that are available in veterinary medicine.  All require a valid veterinarian / client / patient relationship and an examination by the veterinarian to determine that the treatment will not harm the patient.

    • Chiropractic and other forms of Musculoskeletal Manipulation are systems of therapeutic application of mechanical forces applied manually through the hands or any mechanical device to treat and/or alleviate impaired or altered function of related components of the musculoskeletal system of nonhuman animals.  A non-veterinarian employee or an independent contractor may perform these procedures on an animal under the direct or general supervision of the veterinarian.
    •  Acupuncture:
      • Only licensed veterinarians may use acupuncture in the care and medical treatment of animals.
      • The insertion of an acupuncture needle and the application of moxibustion to specific areas of a nonhuman animal’s body to relieve the discomfort associated with painful disorders, to induce surgical anesthesia, and for therapeutic purposes; and
      • The administration of thermal or electrical treatments or the recommendation of dietary guidelines, energy flow exercise, or dietary or herbal supplements in conjunction with the treatment described by the preceding paragraph.
    • Holistic Medicine is the practice of veterinary medicine that believes in a blend of alternative and, if need be, conventional approaches of treatment in an effort to develop a system of complementary medicine to treat the whole patient.  Only licensed veterinarians may use holistic medicine in the medical treatment of animals.  In practice, it incorporates less conventional methods such as herbal medicine, acupuncture, chiropractic, homeopathy, and applied kinesiology, with more conventional methods, such as modern drugs, surgery and diagnostics.
    • Homeopathy is a system of therapeutics in which diseases are treated by substances which are capable of producing in healthy animals symptoms like those of the disease to be treated, the substance being administered in minute doses.  Only licensed veterinarians may use homeopathy in the medical treatment of animals.
    • Class IV Laser Therapy is a safe and non-invasive treatment and has been cleared by the FDA to emit photon energy for the relief of minor muscle and joint pain, muscle spasm, pain and stiffness associated with minor arthritis, promoting relaxation of muscle tissue, and increase local blood circulation.

    By signing this consent form, I am acknowledging that I am the owner of the animal noted above (or an authorized caretaker), and that I have been informed of conventional treatments that are also available and their probable ability to cure or treat the condition.  Veterinarians who practice any form of Alternative Therapy shall exercise the same degree of humane care, skill, and diligence in treating patients as are ordinarily used in the same or similar circumstances by average members of the veterinary medical profession in good standing in the locality or community, or in similar locations or communities, in which they practice.

    This signed statement will become a part of the medical record.

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