Name *

First

Last

Email *

Phone *

Cat's Name *

Is your cat inside, outside, or both? *

Inside
Outside
Both

How much do you feed your cat? Do you meal feed or let them graze? *

What does your cat eat? Please include Brand and whether it is wet or dry. *

Any change in appetite? *

Yes
No

Any change in thirst? *

Yes
No

Does your cat vomit? How many times a week or month? *

Yes
No

Any issues with urine or bowel movements or litter boxes? *

Yes
No

Any coughing or sneezing? *

Yes
No

Do any of your cats medications need to be refilled during your visit? (this includes prescription diets) *

Yes
No
Not Applicable

Is your cat on any flea, tick, intestinal parasite, or heartworm prevention? *

Is your cat on any routine prescription medications? *

Yes
No

Any change in grooming or activity? *

Yes
No

We recommend yearly intestinal parasite testing on all patients regardless of indoor/outdoor status. This can be done through submission of a fecal sample at the time of your cats visit. Please check yes, no, or need more information from the veterinary technician or veterinarian. *

Yes
No
Need More Information

We recommend annual lab work on all cats over the age of 5. Annual lab work can help us to establish your cats baseline values as well as help us detect otherwise hidden issues early on. Please select, yes, no, or need more info from the veterinary technician or veterinarian. *

Yes
No
Need More Information

Do you need any refills today or have any other questions or concerns?

Cat History Form

Cats On Call Hospital

Cat History Form

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We Proudly Serve the Cats of Scarborough, Maine, and Surrounding Areas: