OFFICE USE ONLY:
CAT
PET WEIGHT:
WELCOME
? HAVE YOU SIGNED UP SO WE CAN KEEP TRACK OF ARRIVAL ORDER ?
 YES /  NO Just fill in owner & Pet name, Ill Visit or Wellness Care selected
FIRST visit to VetCare?
Owner_________________________________________________________________Date _____/______/_____
Address______________________________________________ City _______________ Zip Code _____________
Phone_____________________________________
Cell Phone______________________________________
May we Contact you by email with Annual Wellness Reminders?
 YES
 NO
Email (please print) ___________________________________________
How did you hear about our mobile wellness clinic?
 Walgreens Store Flyer
 Walgreens Outside Store Sign  Friend
 Newspaper
 Drove by – Saw Clinic
 Walgreens Pharmacy Flyer  vetcarepaw.com Website
 Craigslist  Other______________________________
Method of Payment:
 Cash
 Check (We do not hold checks)
 Credit Card (Visa/MasterCard/Discover)
Cat’s Name__________________________________________
~ Birthday _________ and __________
Month
Gender:
 Male Intact
 Male Neutered
 Purebred
 Shorthair
 Female Intact
Behavior:
 Friendly
 Fearful
 Aggressive
Breed: ___________________ Color: ____________________
Year
 Mixed/Domestic
 Longhair
 Female Spayed
 Bites/Scratches
Cat’s Health Status:
Is your pet healthy?
 YES  NO
 My Pet is Ill and does not
Does your pet have a chronic disease?
 YES  NO
need a Wellness Care Package
Does your pet have a current disease?
 YES  NO
Pet Consultation
Has your pet had previous vaccinations?
 YES  NO
$30 Fee
**! ? IS YOUR CAT ALLERGIC TO VACCINATIONS ? ! **  YES  NO
Previous Vaccinations
Type
Rabies 1 Year
Rabies 3 Year*
FVRCP for Kittens
FVRCP for Adults
Leukemia
Rattlesnake
+ Diagnostics and Therapy
(1st Visit and Follow-Ups)
Additional Information:
~ Date(s)
________
________
______________
* We do not recommend and is not available
Service FEES Applied per Pet
Medical Waste Fee = $3.00
~ Fuel Surcharge = Depending on Gas Prices = $3.00
~ Visit Fee = Permits to Visit = $1.00 - $5.00
Only On Weekends
512-696-0976
Contact Dr Steven L Meier
drmeier@vetcarepaw.com
Web Site______
vetcarepaw.com
Adult Cat Wellness Packages
Includes a Free Exam
Saving ~ $50 Off Visits
and Health Care Advice

to Area Veterinary Hospitals

$59 Best Package
­ FVRCP for Adults
­ Rabies – 1 Year with Certificate
­ Leukemia
$33 Good Package
­ FVRCP for Adults
­ Rabies – 1 Year with Certificate
Adult cats first time to be given any vaccination (except Rabies – 1 Year) require a minimum of
2 Vaccinations given ~ 4 weeks apart and thereafter repeated yearly
Wellness Package ADD ONS or Build Your Custom Package w/ 2 Items Minimum
 $12 Rabies – 1 Year with Certificate
 $42 resQ Microchip (registration included)
 $21 FVRCP for Adults
 $71 Adult Cat Blood Profile (1-6 years)
 $26 Leukemia
 $163 Senior Cat Blood Profile (7 + years)
 $28 Rattlesnake
 $72 FeLV – FIV Test
 $27 Heartworm Test
Individual Vaccinations – Do not include an exam or advice unless Consultation is ordered


$26 FVRCP for Adult Cats
$17 Rabies – 1 Year with Certificate


$31 Leukemia
$33 Rattlesnake
Individual Care – Does not include and exam or advice unless Consultation is ordered
 $37 Heartworm Test
 $82 FeLV – FIV Test
 $47 resQ Microchip (registration included)
 $81 Adult Cat Blood Profile (1-6 years)
 $173 Senior Cat Blood Profile (7 + years)
Advantage Multi Cat (6 tubes/6 month supply) – Any size single tube $25
Prevents heartworms and eliminates all stages of fleas and ear mites and also
reduces intestinal parasites when applied topically once a month
 $117 5.1-9 lbs
 $117 9.1-18 lbs
Advantage Multi Cat (and other preventives) only reduce the threat of intestinal parasites, and every
6-12 month total worming therapy, is still required for complete protection of Pets and families (see Profender)
Tarter Control Treats for Cats
Promotes dental and gum health and “Sweet Breath” when given daily as a treat
 $5 2.5 oz. bag
Profender Topical (1 tube)
Eliminates all intestinal parasites including tapeworms when applied topically every 6-12 months
 $28 5.5 – 11 lbs
Only On Weekends
512-696-0976
 $30 11 – 17.6 lbs
Contact Dr Steven L Meier
drmeier@vetcarepaw.com
Web Site______
vetcarepaw.com