OFFICE USE ONLY: KITTEN 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 Walgreens Pharmacy Flyer vetcarepaw.com Website Craigslist Method of Payment: Cash Check (We do not hold checks) Newspaper Drove by – Saw Clinic Other______________________________ Credit Card (Visa/MasterCard/Discover) Kitten’s Name_______________________________ Weeks Old______ ~ Birthday ________ and _________ Month Breed: _______________________Color: _______________________ Pure Shorthair Year Mixed/Domestic Longhair Gender: Male Intact Male Neutered Female Intact Female Spayed Behavior: Friendly Fearful Aggressive Bites/Scratches Kitten’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 KITTEN ALLERGIC TO VACCINATIONS ? !** YES NO Previous Vaccinations Type + Diagnostics and Therapy (1st Visit and Follow-Ups) Additional Information: ~ Date(s) ________________________________________________ Rabies 1 Year* FVRCP for Kittens Leukemia Rattlesnake __________ ______________ ______________ A Kittens 1st Rabies is always a 1 yr Vaccination 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 Kitten Wellness Packages Includes a Free Exam And Health Care Advice $61 Best Package (12-20 weeks) - FVRCP for Kittens - 1 Dose Worming (given orally) - Leukemia Saving ~ $50 Off Visits to Area Veterinary Hospitals $35 Good Package (12-20 weeks) - FVRCP for Kittens - 1 Dose Worming (given orally) $35 Early Package (6-11weeks) - FVRCP for Kittens - 1 Dose Worming (given orally) For best protection, all Kitten vaccinations (except Rabies – 1 Year) require a minimum of 2-4 doses given ~ 4 weeks apart with the last dose given at ~ 16-20 weeks and then repeated yearly Wellness Package ADD ONS or Build Your Custom Package w/ 2 Items Minimum $12 $25 $26 $10 Rabies—1 Year with Certificate (16-20 wks) FVRCP for Kittens (6 – 20 wks) Leukemia (12 – 20 wks) 1-Dose Worming (6 – 20 wks) $28 Rattlesnake (12-20 weeks) $72 FeLV-FIV Test (12-20 weeks) $42 resQ Microchip (16-20 weeks) Individual Vaccinations – Do not include an exam or advice unless Consultation is ordered $30 FVRCP for Kittens (6 – 20 weeks) $17 Rabies 1 Year w/cert (16-20wks) $31 Leukemia (12-20 weeks) $33 Rattlesnake (12-20 weeks) Individual Care – Does not include an exam or advice unless Consultation is ordered $15 1-Dose Worming (given orally) $82 Kitten FeLV – FIV Test $42 resQ Microchip (registration included) Advantage Multi Cat (3-6 tubes/3-6 month supply) – Any size single tube $25 Prevents heartworms and eliminates all stages of fleas and ear mites & also reduces intestinal parasites when applied topically once a month $53 2 – 5 lbs (3 tubes) $117 5.1-9 lbs (6 tubes) 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) Totally 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