• 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:      

    Email 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:  

    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: 

  •  / /
    Pick a Date
  • Flea/Tick Control Products

  • Flea/Tick Products used?

    Pet:

    House:

    Yard:      

  • Dental Care

  •  / /
    Pick a Date
  • 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.

  • Dear Fur & Feather Veterinary Hospital Clients:

     

    We are asking that our clients please call in advance if unable to keep a previously scheduled appointment, including boarding reservations, grooming and drop-off appointments.  Clients who need to schedule an appointment for their pets, especially a sick pet, appreciate the opportunity to utilize the available appointment time and obtain the care that their pet needs.

    This letter notifies our clients that a Missed Appointment Fee (equaling a minimum of $65 or current cost of a Comprehensive Exam) will be billed to the account if a courtesy cancellation call is not received 24 hours prior to the booked appointment time. 

    We thank you for trusting our team to provide the very best care for your beloved pets.  We value you and our patients.  If you have any questions, please feel free to ask to see me or just give me a call.  

    Sincerely,

    Hospital Administrator

     

    I have received a copy of this notice and I understand the above policy. 

  • Client Name:     *   *   

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