Cozy Cats Veterinary - A Cat Practice

New Client Information
Name(Required)
Address(Required)
Do you have pet insurance

Cat information (Please list all cats living in your home)

Sex
Spayed / Neutered
Indoor Only
MM slash DD slash YYYY
Declawed
We will gladly prepare a written estimate of service is you desire (please ask our doctor or technician). All professional fees are due at the time of service. There will be a $30 service charge for any check returned.

All new clients will be asked to pay a $110 new client fee ($25 processing fee and a $85 new client exam hold fee). You will be asked to provide a credit card to be stored on your file to cover any charges accrued for your pet. Your signature below authorizes Cozy Cats Veterinary LLC - A Cat Practice to run your stored card for any charges accrued on your account.