Expedited Tele-Health & Emergency Care
Cat Profile Information CLOSE OPEN
Pet Parent’s Name:
Allan Smart
Cat’s Name / Pet Access ID
Truffle Smart / c5BV2o
Land Line
+1 888-555-1212
Cell Phone
+1 888-555-6589
Address
3300 Elmcrest Drive, Lakewood
Dallas, TX 75206
Birth Date
4/17/2017
Breed – Blood Type – Gender
American Shorthair – B – Female
Height – Weight – Coat Color – Eye Color
10 in. – 13 l lbs – Caramel Tabby – Green
City Cat Registration / No. / Date
Dallas C6438772 8/13/2017
County Registration / No. / Date
Collin CC347623 8/13/2017
Clinic-Hospital / No. / Date
Pet Health Today C1546 6/8/2020
Microchip Provider / No. / Date
AAHA 4438439387384 6/5/2018
Apartment Registration / No. / Date
The Meadows 1024 7/12/2017
Other Registration / No. / Date
Feline Friends CLM 2251 08/23/2023
Medical & Item Alerts OPEN CLOSE
Functional Assistance Items
Truffle wears or has had:
Epicardial Pacemaker Implant
Alert Condition:
Medical Alert
Please be advised that Truffle has Angina
Medicine
Insulin, 1
Contact / Telephone
Lynn Smart 1 888-555-1214
Alert Note
Requires eating up to 1 hour before insulin injection.
Emergency Contacts OPEN CLOSE
Name:
Lynn Smart
Relationship / Contact Type
Pet Parent — Primary
Land Line
+1 888-555-1212
Cell Phone
+1 888-555-4321
Alt. Phone
+1 800-555-1246
michael@yourpetdata.com
Address:
3300 Elmcrest,
City/State/Zip/Country
Dallas, TX 75207 – USA
Care Instructions & Information OPEN CLOSE
Travel Itinerary & Contact:
Vacation: Depart - October 5 , Return - October 19, 2022
Hotel: Playa Maya Plaza, Playa del Carman, Mexico
Call or Txt: Allan 888-555-1212 or Lynn 888-555-4321
Optional Hotel Phone: 52 + 989-342-3543
ESA Emotional Support Animal:
I have an ESA Certification Letter from a Licensed Mental Health Professional, Louise Hartgrove, LPC. At times I bring Truffle with me when visiting relatives and traveling.
Physicial Condition:
Truffle is 6 years old and in good physical condition.
Temperment:
She is friendly once she gets to know you, but does not like groups of people or children.
Diet:
Prefers canned tuna and chicken food.
Habits:
She will often sit in your lap and requires that her box is kept fresh, otherwise she may use the furniture.
Exercise:
Play with cat frequently using balls, wands, springs. Considering an exercise wheel.
Other Notes:
Be careful not to let her escape when you open the door as she will return only when she feels like it.
Veterinarian Contacts OPEN CLOSE
Veterinarian Name:
Lucinda Monroe, DVM, – Primary
Specialty
Feline Surgery
Land Line
+1 888-555-1212
Cell Phone
+1 888-555-1444
Fax
+1 469-555-1236
michael@yourpetdata.com
Clinic - Hospital Name
Premiere Veterinarian Clinic
Address:
16200 Preston Road, 1
City/State/Zip/Country
Dallas, TX 75248 – USA
Vaccinations OPEN CLOSE
Vaccinations (mm/dd/yyyy)
Rabies – 2/12/2021
Feline Distemper (Panleukopenia) – 8/10/2021
Feline Herpesvirus – 8/10/2021
Calicivirus – 7/7/2022
Feline Leukemia Virus (FeLV) – 4/6/2019
Bordetella – 5/16/2021
Feline Immunodeficiency Virus – 8/8/2022
Travel Related Vaccination Notes:
Truffle is always boarded when we travel and does not have travel-related vaccinations.
Other Vaccination Notes:
Truffle is always boarded
Pet Pharmacy OPEN CLOSE
Pharmacy Name
Pet Rite Pharmacy
Land Line
+1 888-555-4444
Fax
+1 214-555-4321
Address:
7620 Montfort Lane
City/State/Zip/Country
Dallas, TX 75248 – USA
Medicines & Supplements OPEN CLOSE
Medication:
Dichlorophene Toluene
Prescription # / Expiration Date
364532 – 3/2024
Dosage / Frequency
120mg – daily
Pet Name / Pharmacy Name
Truffle Smart / PetPharm
Notes:
Administer with 160 mg of Toluene for six days
Medical Conditions OPEN CLOSE
Medical Condition:
Diarrhea treatment for diabetic cat.
Last Treated:
05/14/2024
Taking Medication as Treatment:
No
Notes:
Purina DM Dietetic for Cats
Recent Treatments OPEN CLOSE
Condition Treated:
Arthitis Back Pain
Practitioneer / Treatment Date
Richard Durbin, DMV – 4/9/2021
Facility Name
Pet Health Clinic – Injection
Land Line
+1 555-555-1212
Cell Phone
+1 214-555-1245
Fax
+1 214-555-2244
Address:
6630 Lawnwood Drive
City/State/Zip/Country
Frisco, TX 75026 – USA
Recent Treatment Notes:
Spinal disc deterioration
Patient Portal URL:
Portal User Name:
Portal Password Hint:
Surgeries & Procedures OPEN CLOSE
Surgery:
Abdominal wall cancer
Surgeon / Surgery Date
David Brown, DVM – 1/12/2021
Facility Name
Pet Health – Surgery Center
Land Line
+1 888-555-1234
Fax
+1 469-555-4121
Address:
6630 Lawnwood Drive
City/State/Zip/Country
Frisco, TX 75026 – USA
Notes:
Cancer area was removed and Truffle has been cancer-free after procedure.
Allergies OPEN CLOSE
FOOD / Dairy (lactose)
Reactions:
Diarrhea - Significant
Notes:
Refrain from feeding any milk related food or drink.
Appointments OPEN CLOSE
Appointment:
Hearing Hearing device review.
Practitioner
Michelle Davis, DVM
Date / Time
12/28/2024 — 2:45 PM
Facility Name / Treatment Type
Pet Health Center – Examination
Land Line
+1 214 555 4321
Cell Phone
+1 214 555 2121
Fax
+1 469 555 1234
Address:
4360 Highline Drive
City / State / Zip / Country:
Dallas, TX 75201 USA
Appointment Notes:
Hearing loss in both ears. Difficulty for Pepper to follow commands. Speak loudly.
Health Insurance OPEN CLOSE
Insurance Company
PetHealth Insurance – Primary Health Plan
Plan Name
Cat Care Plus
Subscriber Number / Group Number
C3746-234 / 3628
Policy Members
Truffle Smart, Pepper Smart
Insurance Card Number / Card Date
349832 – 7/21/2020
Payer ID Number / Effective Date
28932521 – 7/21/2020
COPAY – O Visit / Spec OV / Urg Care / ER
10 / 20 / 50 / 85
RX COPAY – Tier 1 / Tiew 2 / Tier 3
5 / 15 / 60
Consumer Phone
+1 888-555-1242
Provider Phone
+1 555-555-1212
Health Insurance Notes:
$1500 Deductible