New Client Form

We are excited to be in Boulder and bring the best of care to the felines in this otherwise dog-oriented world. We believe that cats are not second-class citizens and we know that you feel the same. So, welcome! To get started, we will need to gather a bit of information about you so we can establish our relationship. We will then ask you to provide some information about your furry companion(s).

If you have any trouble with this process, please feel free to give us a ring at (303) 500-5158 and we will be happy to help.

Co-Owner Information
Another person you are authorizing to speak for your feline friend(s)

Name:

Relationship

Spouse

Partner

Other

Phone Number:

Email

Employer Information
This information is optional but will be required if you wish to pay with a check.

Place of Work

How Did You Hear About Uniquely Cats Veterinary Center?
How did you first hear about us? We would like to thank any individuals that might have referred you to us! Please check the option(s) below that fit best:

Social Media

Website

Facebook

Nextdoor

Google

Twitter

Yelp

Other

Physical Media

Our Catmobile (our mobile units)

Sign on Building

Pamphlet/Flyer

Direct Mail

Advertising

Other

Referral

A Friend

Veterinarian

Other

If a friend referred you, please list their name:

Kids and Pets

Are there children and/or other pets in the home other than one cat?

Yes

If yes, tell us about the kids (include age) and the pets (include all) in your home.

Use of Name and Pictures

Uniquely Cats Veterinary Center takes photos and/or videos from time to time in order to create promotional materials or to share on our Facebook page. We would like your permission to utilize such materials that might contain images of you and/or your feline companion(s). Only first name and last initial of your name will be used.

Opt-Out of Media Consent

Financial Policy

Written estimates will be provided for all recommended medical and surgical procedures.

Thank you for choosing Uniquely Cats Veterinary Center. Our primary mission is to deliver the best and most comprehensive veterinary care available for your cat. An important part of the mission is making the cost of optimal care as easy and manageable for our clients as possible by offering several payment options. Uniquely Cats Veterinary Center requires payment in full at the end of your cat's examination and/or at the time of discharge.

Payment Options:
You can choose from:

Cash, Visa®, MasterCard®, American Express®, Discover Card® or personal check

Convenient Monthly Payment Options from CareCredit®

Allow you to begin treatment today and pay over time

Available for any treatment amount

Can be used repeatedly - for your entire family - without having to reapply

Scratchpay Loan Options

For some treatments or hospitalized care, a deposit may be required. Healthcare plans requiring comprehensive care of more than $500 will require a 50% deposit to begin your cat's treatment.

Additional Policy Information:

Uniquely Cats Veterinary Center charges $35 for returned checks. A fee of $50 may be charged for clients who miss or cancel more than 2 appointments in a calendar year without 24 hours' notice. For clients with pet insurance, we are happy to provide you with the necessary documentation to submit a claim to your insurance carrier.

If you have any questions, please do not hesitate to ask.

We are here to provide the best veterinary care available for your furry friend.

Financial Policy Acknowledgement
*

I have read and understand the financial policy

Client Code of Conduct

Uniquely Cats Veterinary Center seeks to continually provide a welcoming and safe environment that ensures trust and respect for all people and cats. We strive to treat every client and patient with kindness, respect, and compassion. Our goal is to create a working relationship with the shared goal of compassionate veterinary care for your cat.
To preserve this relationship, we ask that you DO the following:

Disclose relevant, accurate, and complete information about your cat’s temperament, health, and history.

Visit at least once per year to maintain a valid veterinary-client-patient relationship as is required by law to dispense medications including flea and heartworm prevention.

Treat other clients, patients, and personnel with respect.

Meet financial obligations.

Recognize the reality of risks and limits of the science of veterinary medicine.

Work collaboratively with providers to develop and carry out agreed-upon treatment plans.

Address the Hospital Manager with any issues that may arise and communicate your wants and needs.

To preserve this relationship, we ask that you REFRAIN from the following behaviors:

Verbal abuse, malicious or harmful statements about others, profanity, or disrespect.

Any form of harassment.

Discriminatory comments or actions.

Intimidation tactics and/or making threats.

Allowing your cat to intimidate or threaten a person or another cat.

Public disclosure of another’s private information.

Being under the influence of alcohol or behavior-altering drugs.

Failure to comply with requests of our staff, including putting your cat in a carrier.
If your behavior is problematic, we reserve the right to terminate our relationship and discontinue services immediately. Non-compliance will result in corrective measures being taken, which may include being asked to leave the property and the possible involvement of law enforcement. Thank you for your cooperation and understanding we look forward to working together for the health of your cat.
Client Code of Conduct
*

I have read and agree to the Client Code of Conduct

New Client Form

Co-Owner Information Another person you are authorizing to speak for your feline friend(s)

Name:

Relationship

Phone Number:

Email

Employer Information This information is optional but will be required if you wish to pay with a check.

Place of Work

How Did You Hear About Uniquely Cats Veterinary Center? How did you first hear about us? We would like to thank any individuals that might have referred you to us! Please check the option(s) below that fit best:

Social Media

Physical Media

Referral

If a friend referred you, please list their name:

Kids and Pets

Are there children and/or other pets in the home other than one cat?

If yes, tell us about the kids (include age) and the pets (include all) in your home.

Use of Name and Pictures

Financial Policy

Client Code of Conduct

Type Your Name:*

Co-Owner Information
Another person you are authorizing to speak for your feline friend(s)

Employer Information
This information is optional but will be required if you wish to pay with a check.

How Did You Hear About Uniquely Cats Veterinary Center?
How did you first hear about us? We would like to thank any individuals that might have referred you to us! Please check the option(s) below that fit best: