Stray Cat Intake Request Form

Cat name

Gender

Breed (if known)

Age/Date of Birth (if known)

Where is the cat located?

Do you have any reason to believe the cat has an owner?

Has the cat been checked for a microchip?

If yes, and the cat has a microchip, what is the microchip number and brand?

Is the cat spayed or neutered?

Is the cat declawed?

Has the cat ever bitten anyone?

If yes, please list date(s) of bite(s) and brief description of the incident(ces).

Has the cat received any medical care?

If yes, please list what medical treatment cat has received and dates received.

Is the cat friendly with (check all that apply):

List any known medical issue(s) the cat has or has had.

Does this cat have any of the following behavioral issues (check all that apply):

Please explain any behavioral issues where necessary. If you selected "Other", please explain. Please be honest, it will let us know what things we should work on with the cat.

Is this cat an indoor or outdoor cat, or both?

Other comments about the cat’s behavior?

General traits (check all that apply):


List all vets that have seen the cat.

Name the vet records are under.

Brand/type of food the cat eats.

Please list any other information we should know about this cat.

What are your pronouns?

I AGREE TO THE TERMS ABOVE.