St. Louis Cat Clinic | Appointment History

Thank you for allowing us to help you care for your kitty! We want to make this as speedy and quick of a visit for your kitty as possible so they can get back home and back to their normal activities.

In order to help us accomplish this for your kitty, please read over and answer the following questions.

Please write on form and e-mail back to us at customerservice@stlouiscatclinic.com OR print it out, fill in the answers and bring it with you to your appointment.

Owner's Name(Required)

Owner's First Name Owner's Last Name

Cat's Name(Required)

Phone(Required)

Email(Required)

Date(Required)

FOOD

Food brand:(Required)

Amount:(Required)

Dry or canned or both:(Required)

Treats or other supplements:(Required)

WATER INTAKE(Required)

LITTERBOX

Bowel movements are(Required)

Too soft

Normal

Too hard

Bowel movements are(Required)

Less Frequent

Normal

More frequent

Urination is(Required)

Less than normal

Normal

More than normal

If you have observed 1 or 3 to any of the above, please elaborate here:(Required)

Have you observed any other issues with urine/bowel movements?(Required)

Yes

No

Please elaborate here:

Environment

My cat is strictly indoor

My cat has occasional supervised outdoor access such as on a leash or on screened in porch

My cat is indoor/outdoor

My cat is strictly outdoors

Declawed:(Required)

Yes

No

If yes, front paws or all four?

During the visit

Please write the best contact phone number to reach you at during the visit:

If you choose a curbside appointment, we will be calling you several times during the visit, possibly from a blocked/ private number. Please answer this call as it will save you and your kitty time! We will call after the physical exam, go over any additional questions we may have, and discuss our recommendations. We will also call you to check out, which will be done with a credit card number over the phone.
Please wait here in the parking lot during the visit, unless told specifically by a member of the staff that you are free to leave.

Thank you for helping us to make this a quick and happy visit for your feline friend!

We require 24 hours notice for cancellations. That way have that time available to help another sick kitty. Please call to cancel. 314-832-2287

CAPTCHA

Appointment History

Appointment History Digital Form

FOOD

LITTERBOX

Behaviors

Mobility

During the visit

We require 24 hours notice for cancellations. That way have that time available to help another sick kitty. Please call to cancel. 314-832-2287