Owner's Name *

First

Last

Email *

Phone *

I consent to receive SMS text messages from Bristol County Veterinary Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

Yes
No

Pet Information

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Pet's Name *

Species

Breed

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Sex

Male
Female

Color

Spayed/Neutered?

Male
Female

Age/DOB

Pet Insurance

If your pet is covered under a veterinary insurance policy, please list the company name and policy number:

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Insurance Co.

Policy No.

*If your pet is not covered by pet insurance, please note that we here at Bristol County Veterinary Hospital highly recommend it. Please ask us about the different plans out there and what we consider to be the top three.

Media Release

After an explanation of its intended use, I authorize the staff at Bristol County Veterinary Hospital to release pictures and videos of my pet and pet's care to use with the following media entities: *

Bristol County Veterinary Hospital Social Media Accounts (Facebook, Instagram)
Bristol County Veterinary Hospital Website
Veterinary Information Network, Journal of AVMA, Other Veterinary Journals
Decline All

I am interested in educating the public about my pet, my pet's condition and medical care and authorize this veterinary practice to use such materials for this purpose. I agree not to file any claim for revenue or lawsuit for damages against this veterinary practice with respect to the release of this information. *

I have read and agree to the terms
I have read and decline

Additional Information

Does your pet stay indoor, outdoor, or a mixture?

Indoors
Outdoors
Mixture

When and where did you get your kitten? *

Have you noticed any issues/problems with your new kitten?

Yes
No

If yes, please describe

Have you started flea/tick and heartworm prevention?

Yes
No

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Do you have any other pets?

Yes
No

Are they up to date on vaccines, heartworm and flea/tick prevention?

Yes
No

BCVH vaccination & testing recommendations for cats:

Core vaccines that every cat should receive-

Rabies (per state law)
Distemper (FVRCP)

Non-core vaccines based on lifestyle-

Feline Leukemia vaccine (FeLv): for cats that go outside, regardless of supervised or not.”

Semi-annual & annual testing-

Feline Leukemia and AIDs (FeLv/FIV) testing: this testing is highly recommended for all cats 11 weeks old and older. Retesting is not required unless potential for contracting one of these diseases arises. A negative FeLv test is required to start the FeLv vaccine series.
Bloodwork & urinalysis testing:
- Required prior to any anesthetic procedure
- Annual testing recommended for pets of all ages
- Semi-annual testing for cats 5 years and older, and those that are on chronic medications.

I have read and understand BCVH vaccination & testing recommendations.

I have read and understand BCVH vaccination & testing recommendations.

What are you currently feeding and what is the amount you're giving?

Medical Records *

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