Cat Dossier Form

Name*

First Last

Age*

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Alternate Phone

Email

Are you the sole owner of the cat enrolled?*

Yes
No

If not, please list the name(s) of any other person who shares ownership and how you are related to them?

Are you enrolling your cat in The Feline Guardian Program for future “peace of mind” or do you have a current health concern that may necessitate your cats coming to live at our sanctuary in the immediate future? (We apologize for inquiring about this personal information; however, it is important. One of the characteristics that set Hearts That Purr apart from other feline sanctuaries is our policy of maintaining a low resident population of felines. Because cats enrolled in the Guardian Program are guaranteed immediate entry, we must be aware of the potential for a cat(s) arriving sooner than expected when that information is available to us. This information helps us in planning the number if new Feline Guardian Program enrollees, as well as any new cats we can rescue from the community from time to time.)

YOUR CAT’S INDENTIFICATION

Cat's Name*

Age

Gender

Male
Female

Is your cat spayed or neutered?

Yes
No

Is your cat declawed?

Yes
No

If Yes, specify:

Front
All Paws

Breed

Color

How long have you owned this cat?

Where did you obtain your cat?

Is your cat micro-chipped?

Yes
No

If Yes, what is the ID #

Company

YOUR CAT’S HEALTH

Name of Veterinarian

Last Visit

Is your cat current on its vaccinations?

Yes
No

If Yes, please include current vaccination certificates with biography form. If No, you must have this done prior to enrolling your cat in our program.

Has your cat ever been tested for Felv or FIV

Yes
No

If No, you will need to have your cat tested prior to enrollment in the program.

If Yes, what were the results?

Does your cat have any current, previous or recurring medical or behavioral problems?

Yes
No

If yes, describe

What medication (including vitamins or supplements) is your cat currently taking?

YOUR CAT’S LIFESTYLE

Please list the predominant ages and gender of people your cat is used to living with

How does your cat react to strangers or visitors?

Please tell us what other animals your cat has lived with:

How does this cat react to other cats in your home or outside of your home?

Is your cat litter box trained?

Yes
No
Goes outdoors

What brand of litter does your cat prefer?

Has your cat ever inappropriately eliminated or sprayed?

Yes
No

If Yes, describe:

Can you recall if there was any reason or situation that triggered this behavior?

Is there anything unusual about your cat’s toilet habits that we should be aware of?

Where does the cat primarily reside?

Inside only-never outside
Inside-but goes outside on leash or in a catio
Inside/Outside
Outside only

What toys or games does your cat like to play?

How many hours a day is your cat left alone?

Do you regularly travel?

Yes
No

If Yes, do you use a pet sitter?

Yes
No

Name and number of sitter

Do you ever board your cat?

Yes
No

If Yes, where?

Do you have your cat professionally groomed or bathed?

Yes
No

Where?

If you attend to your cat’s grooming needs yourself, please describe any special processes or products you have used

How would you describe your home environment?

Very quiet with few to no visitors.
I have children or other animals visit my home on occasion.
Moderately social with regular visitors of small groups at a time.
I have an active social life and entertain large groups frequently in my home.

What circumstances or situations should be avoided that may cause your cat to be stressed?

Does your cat have a tendency to nip, scratch or bite?

Yes
No

Explain situations that trigger this behavior

Has your cat ever bitten you or someone else?

Yes
No

If Yes, please describe when and what happened?

What part(s) of your cats body does he/she not like touched?

FEEDING INFORMATION

What brand and type of food have you been feeding your cat?

At what times of the day do you feed your cat and the amount per meal?

What type and brand of treats does your cat enjoy?

FOR MULTI-CAT HOUSEHOLDS

If you are enrolling more than one cat in the Guardian Program, what is/are the name(s) of the other(s):

Is your cat part of a bonded pair you’d like to remain together?

Yes
No

If Yes, what is the name of the other cat in the bonded pair?

Describe the relationship of your bonded kitties

Does your cat fight with another in your household?

Yes
No

If Yes, please provide the name of your cat’s nemesis and describe the relationship

Have you previously tried any behavior modification remedies or medications to try to resolve your cat’s differences with the other cat?

Yes
No

If Yes, what did you try, when did you last try it, and what were the results?

Do you keep these cats separate in your home now?

Yes
No

If Yes, describe the living arrangements

SUPPLEMENTAL INFORMATION

Is there other information about your cat that you would like us to be aware of? (Use additional pages if necessary.)

This information is regarding my cat named

Signature

The foregoing information is accurate to the best of my recollection and will be used by Hearts That Purr Feline Guardians as a resource regarding the future care of my cat. I’ll try my best to provide updated information if anything changes in the future. I understand that if my cat enters the care of the Guardian Program at some time in the future, Hearts That Purr will use this information as a guide; however, may make adjustments or modification when doing will be in the best interest of my cat.

Email

This field is for validation purposes and should be left unchanged.

Cat Dossier Form

Fill out the form online or print it out here.

Cat Dossier Form

YOUR CAT’S INDENTIFICATION

YOUR CAT’S HEALTH

YOUR CAT’S LIFESTYLE

FEEDING INFORMATION

FOR MULTI-CAT HOUSEHOLDS

SUPPLEMENTAL INFORMATION

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