253-874-2012

New Client Form

Welcome to our Cat Friendly Practice! Please take a moment and provide us the following information which we can use to create your file. Click here if you would prefer to print out the form.

First Name

Last Name

Spouse/Partner First Name

Spouse/Partner Last Name

Address

Address 2

City

State

Zip Code

Phone Numbers

Home

Work

Spouse/Partner

Email Addresses

Cat Names

Please list your cat's names. For each cat we will need a new patient form completed.

Additional Information, Questions, or Comments

Financial Rights & Responsibilities

You have a right to an estimate on the cost of all services prior to being held responsible for payment of said services.
You are responsible for full payment at the time of service.
We accept cash, checks, Visa, MC, American Express, Discover and Care Credit.
For surgeries, hospitalized cases, and boarding, a deposit of 50% of estimated charges is required at the time of leaving your cat in our care.

I have read and agree to the above stated financial rights & responsibilities.

For immediate assistance call 253-874-2012