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Human (Owner's) Information
Your Cat's Information
Read Release Form
Feline Information
Please complete a separate form for each of your cats that will be coming to Trilling Cat.
Name of the Human that belongs to this cat. Please use the same name as on the Human information form.
Phone Number
cat's name
Breed
Check if the cat is male or female, and if they are spayed or neutered
Male
female
Spayed or Neutered
Color(s)
Cat's Date of birth
what heartworm and flea prevention is this cat on?
What was the approximate date the last dose was given?
What foods does your cat eat? list all foods, including treats and human foods. Please indicate if any of the foods are prescription cat foods.
Check if your cat may have treats while here
List any medications and supplements this cat is currently taking
List any allergies this cat has
Are there other pets in your household?
List any chronic conditions this cat has, including but not limited to diabetes, thyroid, CKD, heart, djd
Has this cat ever been diagnosed with a heart murmur, other heart condition, or high blood pressure?
Yes
No
How does this cat show stress or anxiety?
Does the cat seem anxious or frightened outside of the home, such as at the vet?
Yes
No
Sometimes
The cat's veterinarian
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5018 Dresden Dr.
Durham, NC 27707
919-536-8920
By Appointment Only
Grooming Hours are from 9:00 a.m. to 3:00 p.m.
Monday, Tuesday, Thursday and Friday
To book an appointment, click here to go to our Contact Us Page.