Name * First Name Last Name Pet's Name * Where did you get your kitten * (e.g., breeder, shelter, stray)? When did you acquire your kitten? * Has your kitten had any previous veterinary visits? * If so, when and for what reasons? Is your cat going to be indoor or indoor/outdoor? * Do you plan to spay/neuter? Yes No Not Sure Yet Is your kitten microchipped? Yes No How would you describe your kitten’s overall health? * What kind of food does your kitten eat, and how often? * Is your kitten drinking water normally? Is your kitten urinating and defecating normally? * Any signs of diarrhea or constipation? Do you have any concerns about your kitten’s weight or growth? * Is your kitten currently on any flea or tick prevention? * If yes, which product and when was the last treatment? Is your kitten on heartworm prevention? * If yes, which product and when was the last treatment? Did you know there is no treatment for heartworm in cats? Yes No What are your expectations for this visit? Thank you!