• PET INFORMATION

  • Owner Name:   *   *   

  • If so, please indicate quantity:

    Dogs: Cats:

    Birds: Reptiles:

  • Reason for today's visit?:

  • 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 within 48 hours of your appointment time if you would like to do a Fear Free Visit, or if you would like more details.

  • How is your pet doing? (Please check all that apply)

  • 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, suppliments, and herbals your pet is currently receiving (name and dosage).

  • Brand/Type: Dose/amount per day: .

  • Brand/Type: Dose/amount per day: .

  • Brand/Type: Dose/amount per day: .

  • Brand/Type: Dose/amount per day: .

  • Vaccination and Medical History

  • Hospital/Clinic Name: * Phone: * .

    Email:      

  • *Many Hospitals/Clinics require owner release of pet medical records.

  • Heartworm Preventative

  • If Yes, what brand?: . Date given: .

  • If No, what brand?: . Approximate last date given: .

  • Flea/Tick Control Products

  • Flea/Tick control products used?: . Date given: .

  • In Home?: . Date treated: .

  • In Yard?: . Date treated: .

  • Dental Care

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  • 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, American Express, Discover, or Care Credit.

  • 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!

     

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