• 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/Co Owner:

    Cell Phone: 

    Email Address:      

  • Emergency Contact:
       

    Cell Phone:      

  • PET INFORMATION

    Reptile Wellness Form
  • Enclosure Specification

  • Environment

  • Diet

  • What percent of your reptile's diet consists of the following?
    Please specify percent actually eaten, not percent offered:

    FRUITS/VEGGIES
    % Eaten:    Types:      

    INSECTS/MEALWORMS ETC
    % Eaten:    Types:  

  • RODENTS/CHICKS ETC
    % Eaten:    Source:     Types:      
    Are they fed:                

    PELLETS, COMMERCIAL DIET, CANNED FOOD
    % Eaten:    Types:  

  •  OTHER
    % Eaten:    Types:  

  • List any supplements, how they are given and how often:

    Brand/Type:    Dosage:      

    Brand/Type:    Dosage:    

    Brand/Type:    Dosage:    

  • How is your pet doing?

  • Tell us about your pet's activities

  • Current or Previous Medical Conditions

  • Medications

  • List all medications your pet is currently receiving:

    Brand/Type:    Dosage:      

    Brand/Type:    Dosage:    

    Brand/Type:    Dosage:    

    Brand/Type:    Dosage:    

  • 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

  • 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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