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978-744-8020

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Home
Services

Behavior Consultations

Boarding Services

Diagnostic Testing

Dentistry

Grooming

In House Pharmacy

Laser Therapy

Microchipping

Outside Laboratory Services

Preventative Care

Radiology

Surgery

Technician Appointments
Our Staff
About Us
FAQs
Client Forms

Boarding Consent Form

Change of Address Form

Dental Consent Form

Drop Off Form

New Client Registration Form

Prescription Refill Form

Sedation Consent Form

Surgical Consent Form
Blog
Careers
Contact

New Client Registration Form

Owner Information
Your Name*
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone*
My Primary Phone Number is a:*
Secondary Phone*
My Secondary Phone Number is a:*
Email*
Your Birth Date*
MM slash DD slash YYYY
Emergency Contact*
Please include Name & Phone Number
Names of Other Individuals Authorized to Make Medical Decisions for Cats*
How did you hear about The Feline Hospital? If referred, by whom?*
Patient Information
Your Cat's Name*
Birth Date*
MM slash DD slash YYYY
Gender*
- Non-Spayed Female
- Spayed Female
- Non-Neutered Male
- Neutered Male
Breed*
Color/Markings*
Please list any known health conditions
Please list any medications your pet is on
Do you want to add an additional cat?
- No
- Yes
Your Cat's Name*
Birth Date*
MM slash DD slash YYYY
Gender*
- Non-Spayed Female
- Spayed Female
- Non-Neutered Male
- Neutered Male
Breed*
Color/Markings*
Please list any known health conditions
Please list any medications your pet is on
Do you want to add an additional cat?
- No
- Yes
Your Cat's Name*
Birth Date*
MM slash DD slash YYYY
Gender*
- Non-Spayed Female
- Spayed Female
- Non-Neutered Male
- Neutered Male
Breed*
Color/Markings*
Please list any known health conditions
Previous veterinarian we can contact for records
Please list any medications your pet is on
Signature*
Date
MM slash DD slash YYYY
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Phone
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The Feline Hospital

The Feline Hospital, a cat-only veterinary clinic in Salem, Massachusetts, was founded in July 1984 by Dr. Kathleen Keefe Ternes. The hospital has a warm, home-like atmosphere and our staff is skilled in all things feline.

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Contact Us

Reach Us By Phone

978-744-8020

Address

81 Webb Street, Salem, MA 01970

Send E-mail

thefelinehospital@gmail.com

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Home
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About Us
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Home
Services
Our Staff
About Us
FAQs
Client Forms
Blog
Careers
Contact

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