Purrfurably Cats New Client Registration

Welcome
Thank you for choosing to partner with Purrfurably Cats when seeking the best care for your feline companion(s).

Purrfurably Cats Veterinary Hospital provides exceptional medical, surgical, dental, nutritional, and behavioral care as well as boarding in an exclusive cat only environment.

Top quality patient care is one of our highest priorities, as is respecting the relationship between you and your pet. We treat your pet as we would our own. Our doctors and support staff are committed to providing personal attention to the unique concerns of each pet owner. As your companion(s)'s health care partner, we strive to help you make informed and compassionate choices for their care.

From kitten to senior care, wellness and prevention, to end-of-life hospice care and at-home euthanasia, we are there for you and your kitty at every step of its life.
New Client Registration

Let us know a little more about you and your family!
Owner's Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Preferred Method of Contact*
Owner's Date of birth:*

DayMonthYear
Partner or other authorized agents name:

First NameLast Name
Additional person's relation to you
Additional person's phone number:

Area CodePhone Number
Do you authorize the above provided Partner/Co-Owner to make urgent decisions if you are unreachable?

YesNo
Current Pet Insurance Provider
Upload Blank Insurance Form

Browse Files

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Patient Information
Pet's Name:*
Pet's Age/Date of Birth:*
What Breed and Color is your Pet?*
Pet's sex:

MaleFemaleNeutered MaleSpayed Female
Do you have additional Pets?

YesNo
Pet's Name:*
Pet's Age/Date of Birth:
What Breed and Color is your Pet?*
Pet's sex:

MaleFemaleNeutered MaleSpayed Female
Previous Veterinarian's Name*
We will need this information for our DVM to review prior to any scheduled appointment. If you recently adopted you can either email (meow@purrfurablycats.com.com) or bring in the records at the time of your appointment.
Initial Presenting Problem/ Special Needs/ Concerns:*
Consent

I, the undersigned owner or agent of the owner, hereby consent to the examination of my pet by Purrfurably Cats Veterinary Hospital (PCVH). I agree that after consultation with me, the hospital's Doctors may prescribe medication for, treat, hospitalize, anesthetize and.or perform surgery on my pet. I understand that no guarantee can be made as to the outcome of treatment and that I am encouraged to discuss any concerns I have about the risks of treatment with the attending Veterinarian before any procedures or treatment is initiated.

I understand that a treatment plan including an estimate of the costs for Veterinary Services will be provided to me and that I am encouraged to discuss all fees related to such care before services are rendered and during my pet's ongoing medical treatment.

I hereby authorize the name(s) above to make financial and medical decisions for the patient listed. I understand the professional fees are to be paid at the time services are rendered and a deposit is required on all pets admitted to the hospital.

I understand that I (the owner or agent) am financially responsible to PCVH for all charges relating to this patient. I have read and agree to the treatment authorization. I have also read and accept the financial obligations.
Signature*

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Welcome

New Client Registration

Patient Information