Skip to content
Home
About Us
Adoptions
Kitty News
Careers
New Patients
Pharmacy
Emergencies
Contact Us
Home
About Us
Adoptions
Kitty News
Careers
New Patients
Pharmacy
Emergencies
Contact Us
Home
Request an Appointment
Hours
Directions
Hours & Directions
Emergencies
Veterinary Services
Sick Visits & Urgent Care
Wellness Care
Kitten Care
Diagnostics & Second Opinions
Laser Therapy
Surgical Procedures
Spaying & Neutering
End-of-Life Care
Pain Management
Dental Care
Microchipping
Boarding
Nail Clipping
Behavioral Consulting
About Us
New Patients
Adoptions
Careers
Kitty News
Contact
Home
Request an Appointment
Hours
Directions
Hours & Directions
Emergencies
Veterinary Services
Sick Visits & Urgent Care
Wellness Care
Kitten Care
Diagnostics & Second Opinions
Laser Therapy
Surgical Procedures
Spaying & Neutering
End-of-Life Care
Pain Management
Dental Care
Microchipping
Boarding
Nail Clipping
Behavioral Consulting
About Us
New Patients
Adoptions
Careers
Kitty News
Contact
203-690-1099
Make an Appointment
203-690-1099
Make an Appointment
We've moved to our new Fairfield location!
click for details
Shop Our Online Pet Pharmacy
New Patient Registration
Contact Us
"
*
" indicates required fields
Δ
X/Twitter
This field is for validation purposes and should be left unchanged.
Owner Information
Owner Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number
*
Email Address
*
Best method of contact
*
phone
email
Patient Information
Patient Name
*
Date of Birth
*
Breed
*
Color
*
Sex
*
Female
Male
Female spayed
Male neutered
Other Information
Would you like us to contact your previous veterinarian for records?
*
yes
no
If yes, please give the name of the doctor and/or veterinary clinic
What type of visit are you requesting?
*
Annual / Wellness
Sick
2nd Opinion
Health Certificate
Other
How did you hear of Aristokatz?
*
I hereby authorize Dr. Katz to examine, prescribe for or treat the above described pet. I assume full responsibility for all charges incurred in the care of this animal. I understand that these charges must be paid in full at the time of service. Please type in your full name as a representation of your electronic signature of consent.
*
Protected by reCAPTCHA
Privacy
-
Terms