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Phone * Date of Appointment
Date Format: MM slash DD slash YYYY Pet's Name * A thorough physical exam is the obvious point of your pet’s wellness. Is your pet having any specific issues?
Eyes, Ears, Mouth/Teeth, Coughing/Breathing Issues, Digestive Issues, Skin Issues, Lumps, Bumps, Arthritis?
Litterbox use is obviously important, and not using the litterbox may be an indicator of a medical or behavior problem.
Please mark the box that best describes your cat’s litterbox usage. Please leave any comments you may have here Vaccinations
Your reminder will state what your cat is due for. However, we base vaccinations on your pet’s lifestyle, and many pets don’t always need all the vaccines available.
How much time does your cat spend outside?
If your cat spends any amount of time outdoors, you may want to consider vaccinating for Feline Leukemia Virus and having your cat on a heartworm and flea/tick preventative.
Please read about the vaccine options in each section and mark the one you would prefer your pet to have.
We recommend, when possible, 3-year vaccines to decrease the frequency your pet needs vaccines. We also prefer to have their 3-year vaccines on alternate years with the other 3-year vaccines to spread them out
This vaccine protects against rhinotracheitis, calici, and panleukopenia. After 1 year of age, we recommend this vaccine every 3 years. Once your cat becomes elderly, we would likely discontinue this vaccine.
Please read about the vaccine option and mark if you would prefer your pet have it.
Feline Leukemia Vaccine
This viral disease attacks the immune system, which leaves cats vulnerable to a host of secondary infections. Transmission occurs through contact with other cats; cats that live in multi-cat households or are allowed to roam outdoors are particularly at risk.
Signs of a vaccine reaction, although uncommon, usually occur within an hour or two of the vaccine administration and include soreness, lethargy, vomiting, itchy and in severe cases, shock and collapse. Allergic reactions occur less commonly in cats than dogs, but you should call us immediately and seek emergency care if you see these signs. Certain cats may be genetically predisposed to developing tumors at the site of vaccinations. These tumors are rare, reportedly 2-3 per 10,000 cats. At St. John Animal Clinic, we choose to use non-adjuvanted (no additive) vaccines to reduce this possibility.
Parasite Prevention Stool Sample
We recommend you bring a stool sample every year to check for intestinal parasites
We highly recommend your pet be on prevention year-round his/her entire life. We have topical prevention that is applied once monthly.
Please mark which heartworm prevention.
Please indicate a 12-month supply or note the quantity you would like dispensed for your cat. If you have questions, please let us know. Flea and Tick Prevention
We recommend flea & tick prevention for your cat if you choose to not use the above heartworm prevention.
Please mark the prevention and note the quantity you would like dispensed for your cat below if you chose this option.
Please indicate a 12-month supply or note the quantity of flea and tick prevention you would like dispensed for your cat. Wellness Bloodwork
We also recommend having yearly bloodwork done on your pet to look for underlying disease such as liver, kidney, thyroid, and a complete blood count. Cats are experts at hiding symptoms of disease. Our lab offers a cost-savings profile which will screen your pet for all of these.
Fear Free Medicine We practice Fear Free Medicine and like your pet to not be anxious as much as possible. Can your pet have treats? A nail trim is included with the yearly wellness exam, if requested and it does not upset your pet too much. If you have any questions, please feel free to contact us and we will gladly help you! Additional Comments