Admission Form
Please submit this form if your cat has a scheduled procedure with Weymouth Landing Cat Clinic. If you are looking to schedule a procedure, please call us at 781-337-0400. All admissions happen between 7 and 8am on the day of their procedure unless otherwise arranged with the clinic. Discharges happen throughout the day pending the clinic's schedule for the day and the patient's recovery time. A staff member will contact you once your cat is in recovery to arrange a specific discharge time and to review discharge instructions.
Your Name
*
First Name
Last Name
Cat's Name
*
First Name
Last Name
Email
example@example.com
Best Phone Number for the day of the appointment
*
-
Area Code
Phone Number
Date of your cat's appointment
*
-
Month
-
Day
Year
Date
What is your cat being admitted for?
*
If your cat is having a surgical procedure, sedation, or ultrasound, they must be fasted starting at 10pm the night before their appointment. They can, and should, continue to have access to water. If your cat is not appropriately fasted, we will not be able to proceed with their procedure. Please indicate your understanding of this:
*
Yes
I have questions (a staff member will contact you)
My cat has a medical condition (ie diabetes) and we need special instructions for fasting.
Will you be admitting your cat or will someone else? If someone else, please indicate their name.
*
Your cat is
*
Indoor Only
Primarily indoor with occasional outdoor adventures
Indoor / Outdoor
Outdoor Only
What is your cat's current diet? Brand, type, frequency, amount?
*
Is your cat on any medications? Please include: medication name, dosage, frequency
*
When did your cat last receive a flea preventative?
*
Please provide exact date, including year, to the best of your knowledge
Has your cat had any recent coughing, sneezing, vomiting, diarrhea, increased thirst or urination? Any other medical concerns?
*
Has your cat had any recent behavioral concerns or changes?
*
Does your cat need a nail trim while they are with us?
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Yes
No
Would you like us to implant a microchip, collect a fecal sample, apply dental sealant, and / or perform an FELV/FIV test?
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Implant a Microchip
Collect a fecal sample
Apply dental sealant (dental and surgical patients only)
Perform a SNAP test to check for FELV/FIV
None of the above
If your cat needs medication to go home, is a tablet or liquid preferred?
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Tablet
Liquid
Either is fine
For post-procedural pain control, if needed, we have the option of a long acting medication that is administered at the clinic or an oral medication that is given twice daily at home. The price is comparable and the medication is the same medication but formulated differently. Please indicate your preference below:
*
Long acting medication administered at the clinic
Oral medication administered at home
Please call me to discuss
Do you use pet insurance?
*
Yes
No
Do you have any questions or concerns you would like to review with a staff member prior to your cat's admission? If yes, we will contact you within 1 business day.
*
Yes
No
Submit
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