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CONTACT
information
OWNER’S INFORMATION Name:
____________________________________________
Address: City
___________________________________________
PET’S
information
Name: _______________________________________________ Gender: ______________________________________________ o Spayed
o Neutered
_______________________STATE___________________
Breed: ________________________________________________
Home Phone: _______________________________________
Date of Birth: __________________________________________
Cell Phone: (_________)______________________________
Height: ___________________ Weight: _____________________
Work Phone: (_________)_____________________________
Registration #: __________________________________________
CAT HEALTH RECORDS keeping track of your pet’s health
Registered Name: ______________________________________
VETERINARIAN’S INFORMATION Name:
____________________________________________
Address: City
__________________________________________
_______________________STATE___________________
Phone:
(_________)_________________________________
Sire’s Reg. #: ___________________________________________ Sire’s Name: ___________________________________________
“Your Pet’s Photo”
Sire’s Breed: ___________________________________________ Dame’s Reg. #: _________________________________________ Dame’s Name: _________________________________________ Dame’s Breed: _________________________________________
PET’S IDENTIFICATION EMERGENCY CONTACT INFORMATION Name:
____________________________________________
Relationship: Phone:
_______________________________________
(_________)_________________________________
Emergency #: (_________)____________________________
Microchip ID Number: ___________________________________ License Number: _______________________________________ Collar Color: ___________________________________________ Identifying Markings: ___________________________________ _____________________________________________________ _____________________________________________________
SPECIAL MEDICAL INFORMATION
800-344-6337 | www.LambertVetSupply.com
GROOMER’S INFORMATION Diet: _________________________________________________
Name: __________________________________
Name:
____________________________________________
_____________________________________________________
Phone:
(_________)_________________________________
_____________________________________________________
Date of Birth: _____________________________
Collar Size: _________________________________________
Allergies: _____________________________________________
Last Shampoo: _____________________________________
Breed: ___________________________________
_____________________________________________________
Last Bath: _________________________________________
_____________________________________________________
Sex: _____________________________________
Comments:
________________________________________
Medical Conditions: ____________________________________
Markings: ________________________________
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
Veterinarian: _____________________________
1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years
FIP
wks
Leukemia
wks
Chlamydia
wks
Calcivirus
wks
Rhinotracheitis
wks
Date
FECAL/DEWORMING
Panleukopenia
Age
history
Rabies
VACCINATION
____________________________________________
o o o o o o o o o o o o o o o o
o o o o o o o o o o o o o o o o
o o o o o o o o o o o o o o o o
o o o o o o o o o o o o o o o o
o o o o o o o o o o o o o o o o
o o o o o o o o o o o o o o o o
o o o o o o o o o o o o o o o o
____________________________________________
o o o o o
o o o o o
o o o o o
o o o o o
o o o o o
o o o o o
o o o o o
Date
Results
MEDICAL Date
notes Results
______________________________________________
______________________________________________ ____________________________________________ ____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
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____________________________________________
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HEARTWORM 3 - 6 Weeks
Date
history Vaccination
____________________________________________ ____________________________________________ ____________________________________________
First deworming at 3 weeks
____________________________________________
Second deworming at 5 weeks
____________________________________________
6 - 8 Weeks
Date
Vaccination
____________________________________________
Third deworming at 7 weeks 9 - 12 Weeks Fourth deworming at 9 weeks
____________________________________________
Date
Vaccination
___________________________________________ ___________________________________________
