Cat Anal Gland Health Intake Form
Please provide detailed information about your cat's anal gland health to assist with intake and assessment.
Owner's Full Name
*
First Name
Last Name
Contact Email
*
example@example.com
Cat's Name
*
Cat's Age
*
Cat's Breed
Has your cat shown any of the following symptoms?
*
Scooting
Licking or biting the anal area
Swelling near the anus
Foul odor
Discharge or bleeding
Other
How long have these symptoms been present?
*
Has your cat had previous anal gland issues?
*
Yes
No
Not sure
What type of food does your cat primarily eat?
Please Select
Dry food
Wet food
Raw diet
Mixed diet
Other
Please describe any recent changes in your cat's behavior, stool, or health.
Submit
Should be Empty: