New Client Registration

Please fill out the online form below before your first visit with us!

If you would prefer to download the form and fill it out at home, please click here.

Owner's Name *

First

Last

Date *

Preferred Phone *

Phone Type *

Work
Cell
Home

Alternative Phone

Phone Type

Work
Cell
Home

Employer

Job Title

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Would you like to subscribe to future practice newsletters? *

What is your preferred form of contact to discuss estimates, diagnostic results, or general updates for your cat (s)? *

Phone
Email
Either

What time of the day is best to contact you about your cat(s)? *

How many cats do you have? *

Do you have any other pets? *

If yes, please specify *

How did you first hear of our hospital? *

Facebook
Website
A fellow cat lover
Hospital sign
St. John Newsletter
Other

If other, please specify *

May we post pictures of your cat on Facebook or Instagram? *

Alternate Contact Information

Alternate Contact Person *

First

Last

Relationship *

Alternate Contact Phone *

Alternate Contact Email *

May the alternate contact person make decisions regarding your cat on your behalf? *

Authorization

By signing below, you are verifying that this information is correct and I take full responsibility for the cat(s) I have presented today. I understand that I am to pay in full when services are rendered. *

Signature

Date *

We are pleased to provide compassionate care for the cats of Acadiana!

Why choose a cat-only veterinary clinic? Cats are immediately insecure when they are taken out of their home. Our comfortable care center is tailored specifically to the needs of your cat. We look forward to seeing you soon!

Contact Info

Phone: 337-777-MEOW
Email: [email protected]

Location

119 1/2 Arnould Blvd
Lafayette, LA 70506

Hours

Mon, Tues, Thurs, Fri: 7:30am - 5 pm
Wed: Closed
Sat: 7:30 am - 12 pm
Sun: Closed

Have a question?

Complete the form below and we'll be in touch with you shortly.

Name *

First

Last

Email *

Phone

How can we help you? *

Comment

Where Cats Come First!

We can't wait to meet you. We're located at 119 1/2 Arnould Blvd, Lafayette, LA 70506.

Book an appointment online!

We look forward to seeing you soon. Save time and book your next appointment with us online!

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Cat Clinic of Lafayette is proud to accept Scratchpay.