Feline Pre-Admission Questionnaire

Are you booked in for an appointment at Cat Specialist Services?

Before your visit, please fill out our Feline Pre-Admission Questionnaire below.

This will help us understand your cat’s condition and case history so we can provide the best care possible.

Feline Pre-Admission Questionnaire

Please use this form to refer a patient to Cat Specialist Services

1
Owner Details
2
Patient Details
3
Medical Details

1/3

Owner Details

Patient Name*Length of Ownership*

Where did you obtain your catNumber of cats in your household?*

Indoor/outdoor cat?*Does your cat use a litter tray*YesNoYour cat’s litter preference*

What type of litter box does you cat use?

What is your cat's diet?*Please specify food brand*

Amount of Food EatenPlease list any additional diets or supplements given

What is your cat’s vaccination history?*Worming and flea control*Please specify product used

Has your cat travelled*Please list countries / Australian states visited:

Is your cat receiving medications currently?*YesNoIf Yes, please list here

I find it easiest to medicate my cat*

Contacting Us

Pet Owners
If you would like to talk about treatment for your cat, call us on 1300 228 377 or fill in the form.
In an emergency, please contact your local vet.

Vets and Nurses
To refer a patient or book a telehealth consultation please call us on 1300 228 377, book through the portal or fill in the form. For advice calls, please see the guidelines here.

1300 228 377

1-15 Lexington Rd,
Underwood, QLD, AU, 4119

Monday-Friday: 8 am-6 pm
Saturday/Sunday - Closed