• new patient

    Registration Form

  • Please complete this form for each of your feline friends that will be visiting Uniquely Cats Veterinary Center. Our doctors thrive on information. The more details you can provide the happier our doctors will be.

    **Forms work best using the Chrome browser

  • client Information

  • Patient information

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  • KITTY'S PRIOR VETERINARIAN/HOSPITAL

    We will handle getting kitty's previous medical records (no need for the address, etc. on Boulder County Hospitals). Please list ALL hospitals including emergency and specialist hospitals. Yes, we really want them all.
    • Veterinarian/Hospital 1 
    • Veterinarian/Hospital 2 
    • Veterinarian/Hospital 3 
    • Veterinarian/Hospital 4 
    • Veterinarian/Hospital 5 
    • Veterinarian/Hospital 6 
    • End Section 

  • Medical Problems

    List and describe any known current or past medical problem, illness or injury.
    • Medical Problem 1 
    •  - -
    • Medical Problem 2 
    •  - -
    • Medical Problem 3 
    •  - -
    • Medical Problem 4 
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    • Medical Problem 5 
    •  - -
    • End Section 

    • CURRENT and PAST DIET Information

      Please enter ALL the foods and treats your cat is eating. Also tell us of past diets. Diet history is more important than you might think.

    • Foods/Treats 1 
    • Foods/Treats 2 
    • Foods/Treats 3 
    • Foods/Treats 4 
    • Foods/Treats 5 
    • Foods/Treats 6 
    • Section end 

  • MEDICATION AND SUPPLEMENT INFORMATION

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  • Please list ALL medications and ALL supplements.****

    **** When listing medications please specify the strength/concentration of the liquid (10mg per ml) or tabs (16mg per tab), capsules (10mg per capsule), or other types of medication.

    • Medication/Supplement 1 
    • Medication/Supplement 2 
    • Medication/Supplement 3 
    • Medication/Supplement 4 
    • Medication/Supplement 5 
    • Medication/Supplement 6 
    • End Section 

    • Once you click the submit button {patientName}'s information will be sent directly to the Uniquely Cats Client Care Specialist team. You will receive an auto-response email to let you know we received the information.

      If you do not receive an email please check your spam and if you still can't find it something has gone wrong. If this happens please do us the favor of calling to ensure we received your information.

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