HEALTHLY PET CLUB

Sign Up

This page is for signing up to the Healthy Pet Club. You need to have registered with us in order to do so. If you have not yet registered, please see here.

Please note that your pet will need to be examined by a vet before any medications (including flea and worm treatments) can be dispensed.

Is your pet registered with Riverport Vets

Name of Owner(Required)

Title First Last

Address of owner(Required)

Street Address Address Line 2 City Postcode

Contact number of Owner(Required)

E-mail address of Owner(Required)

How did you hear about our health care plan?(Required)

Preferred date for direct debits to be taken out of your account(Required)

No direct debits will be taken from your account until approximately 1 month after your first vet consult, your direct debit will be set up at this time and your first month’s payment taken as a point of sale (POS). For dogs the amount will be based on your pet’s adult weight (actual or predicted)

Number of animals to be signed up to the Healthy Pet Club?(Required)

Pet 1

Name of Pet(Required)

Dog/Cat/Rabbit?(Required)

Pet 1 - Dog Parasite Questionnaire

Is your dog regularly walked in tall grass or woodland?(Required)

Does your dog have contact with wild animals?(Required)

Has your dog ever had ticks?(Required)

Has your dog ever had lice?(Required)

Has your dog ever had an adverse reaction to a parasite product (flea/wormer) before?(Required)

If so, which one?

Is your dog better with spot-on products than tablets?(Required)

Does your dog swim regularly or have frequent baths?(Required)

Does your dog have access to offal or carcasses?(Required)

Does your dog hunt or scavenge?(Required)

Does your dog live on or travel regularly to a farm or yard/stables?(Required)

Does your dog eat a raw diet?(Required)

Does Your dog eat slugs or snails?(Required)

Is your pet regularly walked in areas grazed by livestock?(Required)

Are there multiple animals living in the same household?(Required)

Does your dog live in or visit an echinococcus granulosus endemic area? (Such as the Welsh borders, Powys and the Western Isles of Scotland)(Required)

Does your dog have any pre-existing health conditions?(Required)

Are there any children in frequent contact with your dog?(Required)

Are there any immunocompromised people in frequent contact with your dog?(Required)

Pet 1 - Cat Parasite Questionnaire

Does your cat go outdoors?(Required)

Does your cat hunt or scavenge?(Required)

Does your cat live on a farm or yard/stables?(Required)

Does your cat eat a raw diet?(Required)

Are there multiple animals living in the same household?(Required)

Has your cat ever had Tapeworms?(Required)

Has your cat ever had Lice?(Required)

Has your cat ever had an adverse reaction to a parasite product (flea/wormer) before?(Required)

If so, which one?

Are you able to give tablets to your cat?(Required)

Are there children in frequent contact with your cat?(Required)

Are there immunocompromised people in frequent contact with your cat?(Required)

Pet 2

Pet 2 - Name of Pet

Pet 2 - Dog/Cat/Rabbit?

Pet 2 - Dog Parasite Questionnaire

Is your dog regularly walked in tall grass or woodland?

Does your dog have contact with wild animals?

Has your dog ever had ticks?

Has your dog ever had lice?

Has your dog ever had an adverse reaction to a parasite product (flea/wormer) before?

If so, which one?

Is your dog better with spot-on products than tablets?

Does your dog swim regularly or have frequent baths?

Does your dog have access to offal or carcasses?

Does your dog hunt or scavenge?

Does your dog live on or travel regularly to a farm or yard/stables?

Does your dog eat a raw diet?

Does Your dog eat slugs or snails?

Is your pet regularly walked in areas grazed by livestock?

Are there multiple animals living in the same household?

Does your dog live in or visit an echinococcus granulosus endemic area? (Such as the Welsh borders, Powys and the Western Isles of Scotland)

Does your dog have any pre-existing health conditions?

Are there any children in frequent contact with your dog?

Are there any immunocompromised people in frequent contact with your dog?

Pet 2 - Cat Parasite Questionnaire

Does your cat go outdoors?

Does your cat hunt or scavenge?

Does your cat live on a farm or yard/stables?

Does your cat eat a raw diet?

Are there multiple animals living in the same household?

Has your cat ever had Tapeworms?

Has your cat ever had Lice?

Has your cat ever had an adverse reaction to a parasite product (flea/wormer) before?

If so, which one?

Are you able to give tablets to your cat?

Are there children in frequent contact with your cat?

Are there immunocompromised people in frequent contact with your cat?

Pet 3

Name of Pet

Pet 3: Dog/Cat/Rabbit?

Pet 3 - Dog Parasite Questionnaire

Is your dog regularly walked in tall grass or woodland?

Does your dog have contact with wild animals?

Has your dog ever had ticks?

Has your dog ever had lice?

Has your dog ever had an adverse reaction to a parasite product (flea/wormer) before?

If so, which one?

Is your dog better with spot-on products than tablets?

Does your dog swim regularly or have frequent baths?

Does your dog have access to offal or carcasses?

Does your dog hunt or scavenge?

Does your dog live on or travel regularly to a farm or yard/stables?

Does your dog eat a raw diet?

Does Your dog eat slugs or snails?

Is your pet regularly walked in areas grazed by livestock?

Are there multiple animals living in the same household?

Does your dog live in or visit an echinococcus granulosus endemic area? (Such as the Welsh borders, Powys and the Western Isles of Scotland)

Does your dog have any pre-existing health conditions?

Are there any children in frequent contact with your dog?

Are there any immunocompromised people in frequent contact with your dog?

Pet 3 - Cat Parasite Questionnaire

Does your cat go outdoors?

Does your cat live on a farm or yard/stables?

Does your cat hunt or scavenge?

Does your cat eat a raw diet?

Are there multiple animals living in the same household?

Has your cat ever had Tapeworms?

Has your cat ever had Lice?

Has your cat ever had an adverse reaction to a parasite product (flea/wormer) before?

If so, which one?

Are you able to give tablets to your cat?

Are there children in frequent contact with your cat?

Are there immunocompromised people in frequent contact with your cat?

HEALTHLY PET CLUB

Sign Up

Pet 1

Pet 1 - Dog Parasite Questionnaire

Pet 1 - Cat Parasite Questionnaire

Pet 2

Pet 2 - Dog Parasite Questionnaire

Pet 2 - Cat Parasite Questionnaire

Pet 3

Pet 3 - Dog Parasite Questionnaire

Pet 3 - Cat Parasite Questionnaire

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