(951) 785-5287
reception@riversidecathospital.net
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New Client Form in Riverside, CA

Welcome to Riverside Cat Hospital. If you’re new to our cat-only practice in Riverside, CA, completing this form before your first visit helps us set up your records and get to know your cat ahead of time. We look forward to meeting you both.

Complete the Form

tabby cat with green eyes

New Client Form

Please share your contact details and your cat’s history below. Completing this before your first visit lets us prepare and saves time at check-in.

Owner Information

Name *

First

Last

Co-owner/Secondary Contact Name (if applicable)

Secondary Owner

First

Last

Note: The Co-owner/Secondary Contact, if listed above, is authorized to approve testing and treatments for your pet.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Owner’s Cell Phone Number *

Owner’s Work Number

Co-owner’s Number

Email Address *

Patient Information

Cat's Name *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Name of Previous Veterinarian and Phone Number

Previous Illnesses

Current Medications

competent Address Name

I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement. I understand that I am financially responsible for all charges, and that payment is due on the same day as services are rendered. *

Yes

Do you have a second cat? *

Yes
No

Cat's Name *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Do you have a third cat? *

Yes
No

Cat's Name *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Do you have a fourth cat? *

Yes
No

Cat's Name *

Breed *

Age/Date of Birth *

Color

Sex *

Male
Neutered Male
Female
Spayed Female

Do you have a fifth cat? *

Yes
No

Cat's Name *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Message

Schedule a Visit

Riverside Cat Hospital sits on Magnolia Avenue, just off Highway 91, welcoming cats from Riverside, Corona, Moreno Valley, and nearby communities. We’d love to answer your questions and help your cat feel at ease.

Have a Question?

Reach out about appointments, prescription refills, or any questions about your cat’s health — our team is glad to help.

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Location

11411 Magnolia Ave
Riverside, CA 92505

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Contact Information

Phone: (951) 785-5287
Text: (951) 785-5287
Email: reception@riversidecathospital.net

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Hours

Mon: 8:00 AM–12:00 PM, 2:00 PM–6:00 PM
Wed: 8:00 AM–1:00 PM, 2:30 PM–6:00 PM
Thurs-Fri: 8:00 AM–12:00 PM, 2:00 PM–6:00 PM
Sun & Tues: Closed

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