FELINE Parasite Control

This form is designed to help our team gather important information about your pet's current status for your upcoming visit to our Fear Free clinic!

Your pet's name:*
Your name:*
Where does your cat spend most of his/her day? (inside, outside, in a room, in a kennel, with you)?*
Has your cat shown any of these signs? Select all that apply*
- coughing
- sneezing
- itching
- diarrhea
- vomiting
- lack of appetite
- none of the above
Please rate your pet's itchiness score from 1-10, 1 being not itchy at all, 10 being extremely itchy.*
Stool Quality Score*
Please rate your pet's stool quality score from 1-5, 1 being profuse diarrhea, 5 being extremely hard.
Did you bring a stool sample today?*
- yes
- no
Does you cat hunt mice and wildlife?*
- yes
- no
- unsure
How much time does your cat spend outside unattended or roaming freely?*
Is your cat on flea/tick prevention currently?*
- yes
- no
Have you seen any fleas on your cat in the last year?*
- yes
- no
What, if any, medications (over the counter or prescription) does your cat take or have applied routinely?*
Does your cat have a history of vaccination reaction?*
- Yes
- No
- Never been vaccinated
If things go well and your cat is not exhibiting any signs of stress, are you interested in having him/her microchipped with a Tchip today?*
- yes
- no
- he/she is already microchipped
Has your pet bitten any person in the last 10 days which broke the skin?*
- yes
- no
Does anyone in your household have a peanut allergy?*
- Yes
- No

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441 Front Street
Trenton, ON K8V 6C1
Vet near me
Click here for directions.

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Mon: 8 am – 5 pm
Tues: 8 am – 5 pm
Wed: 8 am – 5 pm
Thurs: 8 am – 5 pm
Fri: 8 am – 5 pm
Sat: Closed
Sun: Closed

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Phone/Text/Fax: 613-392-6667
Email: trentonpethospital@gmail.com

After Hours Emergencies:
Pet Hospital of Prince Edward and Hastings Counties
Phone: 613-968-9956