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New Client Cat Intake

Schedule A Meet & Greet

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Owner Information
Name*
First Last
Home Address*
Street Address City State ZIP Code
Home Phone*
Work Phone*
Cell*
Date of Birth*
Email*
Employer Name*
Employer City*
Partner / Spouse Name
First Last
Partner / Spouse Email
Partner / Spouse Phone
Emergency Contact*
First Last
Emergency Phone*
Relationship*
Veterinary Information
Primary Vet Clinic
Doctor
Vet Address
Street Address City State ZIP Code
Vet Phone

Cat Information
How many cats do you have?*
- One
- Two
- Three
Cat Name #1*
Cat Date of Birth (1)*
Cat Breed (1)*
Cat Color / Markings (1)*
Cat Sex (1)*
- Male
- Female
Cat Neutered / Spayed (1)*
- Yes
- No
Declawed? (1)
- No
- Yes
Which paws? (1)
- Front paws only
- All four paws
Is your cat current on vaccinations? (1)*
- Yes
- No
Vaccination Date (1)*
When was the last time your cat was vaccinated? (1)*
- Less than 2 years ago
- Between 2-5 years ago
- As a kitten
- Never
Known Medical Conditions (1)*
Current Medications (1)*
Dosage (amount and frequency) (1)*
Special Notes and Instructions (1)*
Cat Name #2
Cat Date of Birth (2)
Cat Breed (2)
Cat Color / Markings (2)
Cat Sex (2)
- Male
- Female
Cat Neutered / Spayed (2)
- Yes
- No
Declawed? (2)
- No
- Yes
Which paws? (2)
- Front paws only
- All four paws
Is your cat current on vaccinations? (2)
- Yes
- No
Vaccination Date (2)
When was the last time your cat was vaccinated? (2)
- Less than 2 years ago
- Between 2-5 years ago
- As a kitten
- Never
Known Medical Conditions (2)
Current Medications (2)
Dosage (amount and frequency) (2)
Special Notes and Instructions (2)
Cat Name #3
Cat Date of Birth (3)
Breed (3)
Color / Markings (3)
Cat Sex (3)
- Male
- Female
Neutered / Spayed (3)
- Yes
- No
Declawed? (3)
- No
- Yes
Which paws? (3)
- Front paws only
- All four paws
Is your cat current on vaccinations? (3)
- Yes
- No
Vaccination Date (3)
When was the last time your cat was vaccinated? (3)
- Less than 2 years ago
- Between 2-5 years ago
- As a kitten
- Never
Known Medical Conditions (3)
Current Medications (3)
Dosage (amount and frequency) (3)
Special Notes and Instructions (3)

Additional Information
Feeding
Kinds of Food*
Feeding Schedule / Amount*
Special Feeding Instructions*
Other
Is your cat allowed outdoors?*
- Yes
- No
Favorite toys*
Favorite hiding places*
Is there something that will bring your cat out of hiding (the sound of the can opener or treat jar, for example)?*
Litter box scooping schedule?*
How often do you completely change the litter box(es)?*
Traits
Please answer the following brief questionnaire about your cat. It will help us to better care for him/her.
Tries to escape*
- Yes
- No
Will not eat when stressed?*
- Yes
- No
Prone to hairballs?*
- Yes
- No
Skittish with strangers?*
- Yes
- No
Uses the litter box reliably?*
- Yes
- No
Fearful of loud noises?*
- Yes
- No
Likes to be petted?*
- Yes
- No
Likes to be held?*
- Yes
- No
Uses their claws?*
- Yes
- No
Has the cat bitten anyone?*
- Yes
- No
Other signs of aggression?*
- Yes
- No
Please indicate anything else about your cat's habits or behavior that would be useful to us in providing care:*
Do you have any other pets at home?
- Bird
- Fish
- Frog
- Turtle
- Other
Names, Feeding & Care Instructions

Useful Details

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Accreditation

Rover-Time is a member of Pet Sitters International and the Association of Professional Dog Trainers, and fully insured by Kennel Pro. All team members of Rover-Time are trained and certified in Pet First Aid and CPR.

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About Julia
- Building Community
Services
FAQ
Client Center & Covid-19 Updates
Careers
Blog
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