• 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: 

  • Significant Other or Co Owner:

    Name:    

    Cell Phone: 

    Email Address:      

  • Emergency Contact:

    Name:    

    Cell Phone:      

  • PET INFORMATION

  • If Yes, please indicate quantity:

    Dogs:    Cats:

    Birds:    Reptiles:    

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

    Brand/Protein:    How often/much:

    Brand/Protein:    How often/much:    

    Brand/Protein:    How often/much:

  • Dry Food / Pellets?:
    Brand:    How often/much:

  • Do you give your pet suppliments?
    Please specify types/brands and how often of each:

    Brand/Type:    How often/much:

    Brand/Type:    How often/much:    

    Brand/Type:    How often/much:

  • Have you noticed any of the following?
    If so, please describe:

    Decreased appetite / Increased appetite:    

    Weight gain / Weight loss:

    Vomiting / Diarrhea:    

    Difficulty breathing:    

    Lethargy:    

    Nasal or Eye Discharge:

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

    Hospital/Clinic: * Phone:  *    

    Email:      

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

  • 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 $65.00 Missed Appointment Fee 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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