Feline Appointments Contact InfoName* First Last Email* PhoneCat's NameBreedColorPet Date of Birth/Age Date Format: MM slash DD slash YYYY SexMaleMale - NeuteredFemaleFemale - SpayedPrimary Reason for Today's VisitWhat brings you in to our hospital?Wellness ExamSick - ExamDo you have concerns about your pet's health?YesNoPlease elaborate. Have you tried anything to treat these problems so far?Tell me about your pet's lifestyle:Describe their diet:Describe what medications and supplements your pet is taking:Which heartworm preventatives your cat is currently on:Revolution +OtherIf Other, What heartworm preventative is your cat on?Which flea/tick preventatives your cat is currently on:Revolution +BravectoOtherIf Other, What flea/tick preventative is your cat on?Does your pet have a microchip?YesNoDoes your cat go outside?YesNoIf any of your cats go outside, all cats in the household need to be vaccinated for feline leukemia. Microchipping is permanent identification that we recommend for all dogs and cats!. Having your pet microchipped will help you be reunited if they become lost! A fecal sample should be checked yearly for intestinal parasites. Please bring in a stool sample collected the day of your appointment. Year round heartworm prevention is needed as mosquitos are now known to live in your basement/attic and in the sewer system all winter. We recommend Revolution Plus for all cats all year long. This also prevents fleas, ticks, ear mites and some intestinal parasites! It is a topical product and is applied monthly. We will discuss the costs of this medication during your appointment. Heartworm and flea/tick prevention purchased form non-veterinary sources are NOT guaranteed by the manufacturer. We recommend to purchase the products from our hospital or our online store to ensure the manufacturer guarantees are in effect. https://brookfallsveterinary.com/wp-content/uploads/2019/05/Heartworm-Infographic.pdf a good website to get more info on feline heartworm disease. Our hospital offers wellness plans that allow you to spread your veterinary costs over the year with monthly payments. Pets on the wellness plans receive FREE exams, nail trims, anal gland expressions and ear cleanings all year long! If you are using a promotional discount such as Care to Share please let us know when you check in. We want to thank the person that recommended you to our hospital! You will each receive a $25 credit on your account! We look forward to meeting you and your pets!