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Client Name*

First Last

Email*

Pet Name*

How long have you had your new kitten?*

Where did you adopt them from?*

Do you have any other pets in the house?*

Yes
No

If "Yes", please specify.

Has your new kitten had previous vet care including vaccinations and deworming? If so, please list them.*

If they have a patient record at another veterinary clinic, please specify the clinic so we may call to have the records transferred.

How is litterbox training going? Any accidents outside the litterbox? Are you using more than one litterbox?*

Are they showing any inappropriate biting or chewing?*

Yes
No

If "Yes", how are you addressing it?

Do you have any behavioural concerns with them?*

What diet are you currently feeding and how much?*

How is their appetite and thirst?*

Have you seen any coughing, sneezing, vomiting, or diarrhea?*

Yes
No

If "Yes", please specify.

Have you seen or felt any lumps or bumps?*

Yes
No

If "Yes", please specify.

Have you noticed any mobility issues?*

Yes
No

If "Yes", please specify.

Are you planning on spaying/neutering?*

Yes
No

If "No", please specify.

Do they already have a microchip?*

Yes
No

If "Yes", please bring their microchip identification number to the first appointment so we can add it to the patient file.

If "No", are you wanting to get one?

Yes
No

Are you interested in or have any questions about pet insurance?*

Yes
No

If "Yes", please specify questions below.

Do you have any questions or concerns you would like addressed?*

Yes
No

If "Yes", please specify questions below.

Social Media Consent: We would love to show off your new kitten on our Facebook and Instagram pages! Do you provide consent for us to post these photos on our social media?*

Yes
No

Scribenote Consent: Do you give Ilderton Pet Hospital consent to use Scribenote during your pet's appointment?*

Yes
No
I'd like to learn more at the appointment

Scribenote is a secure digital tool we use to help document your pet's physical exam in real time. While our team focuses on caring for your furry friend, Scribenote quietly records our medical findings. This helps to ensure we capture details accurately, stay focused on your pet, and keep thorough, up-to-date records. We know new technology can be daunting. Please let us know if you have any questions or concerns and we can discuss further at the appointment.

We recommend bringing in a fecal sample to be looked at under the microscope to determine if any worms or parasites are present. Are you able to bring a fresh sample in at their first appointment?*

Yes
No

New Kitten Questionnaire

New Kitten Questionnaire

Mailing Address

Office Hours

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Monday	8:30am – 5:00pm
Tuesday	8:30am – 5:00pm
Wednesday	8:30am – 5:00pm
Thursday	8:30am – 5:00pm
Friday	8:30am – 5:00pm
Saturday	8:30am – 12:00pm
Sunday	Closed

New Kitten Questionnaire

New Kitten Questionnaire

This site uses tracking technologies

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