The American Association of Feline Practitioners has designed a form (see below) that cat owners can fill out and present to their veterinarians. This will help their veterinarians determine what testing for
Feline Immunodeficiency Virus (FIV) and
Feline Leukemia Virus (FeLV) may be necessary. Click
here if you would like to go to a blank form you can print out and use.
FIV and FeLV Observation Form
(Sample) |
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About Your Cat:
Name: Morris
Age: 6 Years
Sex: Male
Is your cat neutered/spayed? Yes
Geographic Location: WI - Wisconsin 54501
Observations:
How long ago was your last visit to your veterinarian? 2 Years
Is your cat primarily an indoor cat or an outdoor cat? Mostly indoor
Has your cat been vaccinated for FeLV? Yes
Do any of these situations apply to your cat? Please check all that apply:
X
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Has been outside unsupervised |
__
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Was exposed to a cat with unknown FIV/FeLV status |
__
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Was in a fight with another cat |
X
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Lives in a household with other cats of unknown FIV/FeLV status |
__
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Lives in a household with a recently adopted cat |
__
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Was a stray or obtained from a shelter |
Has your cat had any of these signs of illnesses? Please check all that apply:
__
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Weight Loss |
X
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Decreased appetite |
__
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Decreased grooming |
__
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Decreased energy or general weakness |
X
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Vomiting |
__
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Diarrhea |
__
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Gingivitis (red, swollen gums) |
X
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Pale gums |
__
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Mouth sores |
__
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Enlarged lymph nodes |
__
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Abscesses |
|
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| This form was developed by the American Association of Feline Practitioners. |
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