kitten health check history questions – new patient

Congratulations on your new kitten!

Please complete this form if you are bringing your kitten (12 months of age or younger) to us for the first time, for a general health check or vaccination. If your kitten has visited us in the past, please complete the Existing Patient Form instead.

Owner First Name *

Owner Surname *

Owner Phone Number *

Cat's Name *

Breed *

Age *

Gender *

Are they desexed? *

Are they insured? *

If yes, please provide the name of insurer and policy number: *

Please provide their microchip number (if you have it):

Have they been to another vet? *

If so, do we have permission to contact their previous vet(s) for their history?

Where were they acquired (breeder, pet shop, rescue organisation etc.) and how long ago? *

Please list any other pets at home:

What vaccines have they had so far, and when? *

Are they housed indoors or outdoors?

What parasite prevention is used for fleas/ticks, intestinal worms and heartworm? How often is it applied/administered? When was it last applied/administered? *

Do you need advice and/or recommendations about parasite prevention during your consultation? *

Describe their diet: list all foods offered, including the amount. *

What treats do they receive? Include the amount and frequency of each. *

Do they have any allergies to food or medications? If so, please list. *

Do you require any advice about socialisation for your kitten? *

Do you require any advice about grooming and dental care for your kitten? *

Please list any known health issues or medical problems, including any medications they are currently taking. *

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THE WILD VET

Kitten Health Check History Questions

kitten health check history questions – new patient

THE WILD VET