Welcome to Cats on Call! We look forward to meeting you and your cat(s). Please fill out the following form before your visit so we can provide the best possible care to your feline friend. Thank you and we cannot wait to meet you!

Owner Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Birthday *

Owner Pronouns

Drivers License, Expiration Date, and State of Issue *

Email *

Phone number *

Co-Owner Name

Email

Co-Owner Owner Pronouns

Phone Number

How Did You Hear About Us? *

Please tell us: *

Who referred you? *

First

Last

Patient Information

Pet Name *

Color *

Age *

Breed *

Birthdate *

If New Adoption, where did you adopt from and when?

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Pet Insurance Company/Policy Number

Please let us know which company in this line. Include policy number

For insurance submission, many companies make it easy for you to submit insurance through an app or on your own. We will always make sure to send you your invoices. We will send records to your insurance company as well if required. For Trupanion insurance holders we can submit everything through the clinic

Do you want Cats on Call to submit insurance for you? *

I prefer to submit insurance myself
I do not have pet insurance
Please submit insurance for me

To help us provide the best care we can, please provide a detailed list of the previous veterinary clinics your cat has visited so that we may request records. A full medical history allows us to make the most appropriate recommendations based on your cat's individual needs. This includes proper vaccination recommendations and lab testing.
Please include the name of the clinic and state (phone number if available), as well as any specialty or ER hospitals your pet has visited.
Please also include adoption records if you have them as many adoption facilities are difficult to obtain records from.

Previous Veterinary Hospitals your cat has been seen (Include adoption/rescue agency if applicable): *

Please provide name of Veterinary Clinic or Rescue, city, and state if outside Portland

Where did you get your cat and how long have you had them? *

What states/countries has your cat traveled to? *

Do you have any other pets or children in the household? *

Any pertinent medical history? *

Any chronic illnesses or diseases we need to know about?

Has your cat had surgery or an anesthetic procedure before? *

Please be specific and list all known procedures, with dates if known

Has your cat been anxious or fearful for veterinary visits in the past? *

Has a veterinarian ever recommended or prescribed an anxiolytic (anti-anxiety medication) for your cat in the past? *

Yes
No

If you chose yes above, please tell us about the medication (Gabapentin/Anxitane, etc.) and how your cat did with the medication. *

To help facilitate a comfortable examination, we can provide a Fear Free dose of an anxiolytic prior to your cat's visit. We want to be able to provide the least stressful and best possible experience for you and your cat. Would you like us to prepare a Fear Free Dose for your cat's initial visit? *

Yes
No
I'm unsure, please discuss this with me more

Are there any specific issues you would like addressed at your initial visit? Do you have a specific goal for your initial visit? *

Do we have permission to use photographs/video of your pet on our website, Facebook, or Instagram? *

Yes
No

Fee Policy

All professional and medical services must be paid in full at the time services are rendered. We accept Cash, Visa, Mastercard, American Express, Discover, Debit Cards, Care Credit, and personal checks. If using a personal check we must have your drivers license number and date of birth on file. As a cat guardian, you will be held liable for the financial responsibility of services that are performed for each cat. Payment is due, in full, at time of service. Unpaid balances will be recovered as deemed appropriate by Cats on Call management.

Cancelling and Rescheduling

If you need to cancel or reschedule your appointment, please notify us with minimum of 24 business hours and be advised that if you miss an appointment, you may be required to leave a deposit equal to the current examination fee when rescheduling. The state of Maine requires all cats over 3 months of age must be rabies vaccinated regardless of indoor/outdoor status. Cats with chronic medical conditions or known history of rabies vaccination reaction will be evaluated on a case by case basis at the veterinarians discretion.

Today's Date *

New Client Form

Cats On Call Hospital

New Client Form

Patient Information

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Cancelling and Rescheduling

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

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New Client Form

Cats On Call Hospital

New Client Form

Patient Information

Fee Policy

Cancelling and Rescheduling