Cat Clinic of Fernandina

97040 Elk Creek Court
Fernandina Beach, FL 32034


Cat Clinic of Fernandina is pleased to provide you with a variety of forms that can simplify the process of caring for your pet.  Just select from the available form on the menu. All forms are made available in both .docx and .pdf files for your convenience.

New Client Form:
New Client Information.docx 23 KB / New Client Information.pdf 20 KB
If you are a brand new client coming to our office for the first time, please print this form out and bring it with you at the time of your appointment. Be sure to let us know how you heard about us!

Absent Owner Form:
Absent Owner Form.docx 14 KB / Absent Owner Form.pdf 12 KB
If you are planning on going out of town and leaving your cats under the care of a pet or house sitter, filling out this form will enable us to properly care for your cat in the instance of him/her becoming sick and needing medical attention while you are away.

Anesthesia Authorization Form:
Anesthesia Authorization.docx 14 KB / Anesthesia Authorization.pdf 13 KB
This form is designed for those who have a scheduled procedure with the Cat Clinic of Fernandina which will require anesthesia (all surgeries, lion cuts that require sedation, and other procedures). Please print and sign a copy to bring with you at the time of your appointment or your drop-off time.

House Soiling Questionnaire:
House Soiling Questionnaire.docx 14 KB / House Soiling Questionnaire.pdf 30 KB
Having problem with a cat that is spraying or defecating outside of the litter box? Please fill out this form in its entirety and bring it with you at the time of your appointment or consult. The answers are very important as they will help Dr. Mersereau to better understand exactly what is going on and what steps we can take to correct the behavior.