Client Information Form

Client Information Form

UPDATE FOR 2025

We are currently scheduling new client appointments on a very limited basis. Please be sure to fill out both this form and our Patient History Questionnaire to be added to our wait list.

Owner Information

By providing my phone number, I consent to receive SMS text messages from Cats Exclusive for appointment reminders, marketing messages, and general two-way communication. Msg frequency varies. Msg data rates may apply. Reply HELP for support. Reply STOP to opt out. Refer to our privacy policy and terms and conditions for more information.


Spouse or Partner

Emergency Contact

Cat(s)

How Did You Find Us?

Financial Policy:
I hereby authorize the veterinarian to examine, treat, and prescribe for the above-described animal(s). I assume all responsibility for all charges incurred in the care of this animal. I understand that payment is due at time services are rendered and that there may be a deposit required for any hospitalized treatment. Acceptable forms of payment are cash, checks (up to the amount of $300.00), debit and credit cards (Mastercard/Visa/Discover) and Care Credit.

Cat Friendly
Enviro Star Certified
Care Credit