Home
About Us
Services
Resources
Contact
Blog

!Side Menu Images

Our Services

Our Care Team

Fetch an Appointment!

!Mobile Content

Get in Touch

Call Us! 479-571-1228

Online Store

Follow us!

!Header Logo

Home
About Us
Services
Resources
Contact
Blog

!Give us a call button

Call Us! 479-571-1228

Online Store

!Social Media Icons

!Call Icon

New Client Form

Slide Background

Download Printable Version

Day of your appointment

Date *

Owner Name

Your First Name: *

Your Last Name: *

Owner's birthdate: *

Phone: *

Email: *

Co-Owner Name

First Name:

Last Name:

Co-Owner Phone:

Co-Owner Email:

Street Address

Street Address *

Address Line 2 *

City *

State *

ZIP / Postal Code *

How did you hear about us? *GoogleFacebook/InstagramPersonal RecommendationOther

If Personal Recommendation, who may we thank?

Would you prefer an in-person visit or remain curbside? *In-Person VisitCurbside

Patient Information

Cat’s Name: *

Hair Length: *ShortMediumLong

Sex *FemaleSpayed FemaleMaleNeutered Male

Color: *

Approximate Age/Date of Birth: *

Does your cat have past medical records? (If so please bring with you to appointment.) *YesNo

Patient Visit

Reason for Visit *ExamExam w/ Lab WorkExam w/ VaccinesIllness or InjuryRecheckBoosters

Other Services: (All other services will be at an additional cost)Express Anal GlandsNail TrimShave MattsShave Rear

Your Cat’s Lifestyle *Indoor OnlyIndoor MostlyOutdoor OnlyOutdoor MostlyIn and Out Freely

Do you have any concerns with your cat? *NoneIncreased AppetiteDecreased AppetiteIncreased DrinkingDecreased DrinkingWeight LossWeight GainItching/ScratchingVomitingDiarrheaUrination IssuesLethargyBehavioralSneezingCoughingOther

Please explain: *

What brand and type of food do you feed your cat? *

How much/how often do you feed your cat? *Free FedMeasured Amounts

Is your cat on any current medications or supplements? *YesNo

Do you have pet insurance? *YesNo

Do you have our app (Vitus Vet)? *YesNo

IN PERSON VISIT – We ask that you remain seated for the examination and allow our trained assistants to provide physical support for your cat

IF YOU ARE ILL OR HAVE BEEN EXPOSED TO SOMEONE WHO IS ILL, WE WILL NEED YOU TO REMAIN CURBSIDE OR RESCHEDULE YOUR APPOINTMENT *I understand and agree

Signature *

Please do not fill in this field.

!Footer Column 1

3100 N. College Ave.
Fayetteville, AR, 72703
Phone: 479-571-1228

Monday: 7:30am-5:30pm
Tuesday: Closed
(alternates with Saturdays)
Wednesday: 7:30am-5:30pm
Thursday: 7:30am-5:00pm
Friday: 7:30am-5:30pm
Saturday: 7:30am-12:00pm
(alternates with Tuesdays)
Sunday: Closed

Emergency Clinic: Animal Emergency
and Specialty Clinic of NWA
881 Metroplex Dr.
Springdale AR 72762
479-927-0007

!Footer Column 2

!Footer Column 3

We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.AcceptPrivacy Policy