A Cat’s Place
322 Westport Ave
Norwalk, CT 06851
203-855-1146
GROOMING FORM
:
WHAT PHONE NUMBER CAN WE REACH YOU TODAY? ______________________________________
IS YOUR CAT
STRICTLY INDOOR
INDOOR/OUTDOOR
Is your cat itchy?
YES
NO
Have you bathed your cat recently?
YES
NO
Do you apply any flea/ticktreatment?
YES
NO
If yes, what did you use?__when was treatment done?__
WOULD YOU LIKE YOUR CAT'S NAILS TRIMMED?
DO YOU WISH TO HAVE YOUR CAT BATHED?
Is your cat losing hair?
Have you seen fleas?
Have you seen ticks?
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
ONLY IF NECESSARY
SOME MATS CANNOT BE COMBED OUT. IF NECESSARY, DO WE HAVE PERMISSION TO SHAVE MATS?
YES
NO
WOULD YOU LIKE YOUR CAT TO HAVE A LION CUT? (WHICH MEANS YOUR CAT WILL BE SHAVED EVERYWHERE
EXCEPT THE HEAD, FEET, AND END OF TAIL. OUR GROOMER NO LONGER DOES A “MODIFIED” LION CUT)
YES
NO
EVEN THE SWEETEST CATS HAVE THEIR OFF DAYS. IF IT BECOMES NECESSARY, DO WE HAVE PERMISSION TO
SEDATE YOUR CAT? (THE PRICE OF SEDATION IS $59)
YES
NO
Has your pet eaten today?
YES
NO
If yes, when and how much?__
AGREEING TO SEDATE DOES NOT MEAN YOUR CAT WILL BE SEDATED. EVERY EFFORT WILL BE MADE TO GROOM
WITHOUT SEDATION.
NOTE: IF YOU CHECK OFF “NO” AND SEDATION IS NECESSARY WE WILL MAKE EVERY EFFORT TO CONTACT YOU.
IF YOU CANNOT BE REACHED IT MAY BE NECESSARY TO RESCHEDULE YOUR APPOINTMENT.
IF WE NEED TO SEDATE YOUR CAT, A VETERINARIAN WILL PERFORM AN EXAM TO ASSESS WHETHER YOUR PET IS
HEALTHY ENOUGH TO HAVE A SEDATIVE. IN SOME CASES, THE VETERINARIAN MAY RECOMMEND BLOOD WORK
PRIOR TO SEDATION, ESPECIALLY IN CATS OVER 7 YEARS OF AGE. (THE COST OF THE BLOOD WORK IS $128)
DO WE HAVE PERMISSION TO RUN BLOOD TEST?
YES
NO
PLEASE DESCRIBE ANY SPECIFIC/SPECIAL GROOMING REQUESTS (USE BACK OF FORM IF NECESSARY):
__
ALL CATS WILL BE CHECKED FOR FLEAS AND TICKS. IF DETECTED, AFFECTED CATS WILL BE TREATED AT
OWNERS EXPENSE.
PAYMENT IS DUE AT TIME OF PICK UP. A DEPOSIT MAY BE REQUIRED IN CERTAIN CIRCUMSTANCES.
I have read the above agreement and to the terms and conditions set forth therein.
SIGNATURE: __________________________________________________________________________