Cat Spay Day Form – Yorkton Animal Health Centre P.C. Ltd

Cat Spay Day

Yorkton Animal Health Centre is happy to provide a LOW COST CAT SPAY program this spring in our area. Hopefully, with our efforts we will be able to impact the number of animals entering shelters and rescue organizations. Spay days will be held during specific days in the summer on July 27, and August 11 &17th, 2022. (Pre-book, spaces are limited) Location: Yorkton Animal Health Centre. Please fill out the form below to be included. We will contact you with additional information.

Client/Patient Information
Date*
Date Format: MM slash DD slash YYYY
Client's Name*
First Last
Spouse's Name*
First Last
Address*
Mailing Address Address Line 2 City Province Postal Code
Phone*
Work Phone
Cell Phone*
Emergency Phone Number for Surgery Day*
Best contact number should there be an emergency with your cat during surgery.
Email*
Preferred Method of Communication for Reminders*
All Fees Are Due At The Time Services Are Rendered
Please Indicate Your Choice Of Payment*
How did you become aware of our spay clinic?*
Pet's Information
Pet's Name*
First
Breed*
ie. domestic short/medium/long hair, siamese, sphynx etc.
Date of Birth*
Date Format: MM slash DD slash YYYY
Colour*
Sex*
Last Vaccinations*
*Rabies vaccination will be given if not up to date at no charge. If your cat is up to date on Rabies, proof of vaccination will be required.
Do you want any additional vaccinations for Upper Respiratory Disease (FVRCP) or Feline Leukemia (FeLV). ?*
If your cat has no previous vaccinations, they will require a booster for these vaccinations in a months time
Do you want treatment for ear mites, fleas and internal parasites (excluding tapeworms) (Discounted price)*
Most cats are constantly exposed to parasites both external and internal. These parasites can be spread between animals. Regular treatment is required.
Previous Vet Clinic*
Does your pet have any allergies or is it on any medications? If so what?*
Any Notes about your pet: Wild/Feral, aggressive etc. tame, house cat etc.*
Has she had kittens? If so, when?*
Could she be pregnant? If so how far along is she?*

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Cat Spay Day

Client/Patient Information

All Fees Are Due At The Time Services Are Rendered

Pet's Information

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