New Cat Vaccination History Form *Client Client ID # *Pet's Name Pet's ID # Breed Age Date of Last Rabies Vaccination Date of Last Distemper Vaccination Please give the approximate dates if your pet was vaccinated for any of the following: Feline Leukemia Feline Inectious Peritonitis Date of Last Feline Leukemia/FIV Test Do you use Flea/Tick Preventative? (Y/N) Date of Last Fecal Examination Comments