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Who We Are
Our Team
Fear Free Care
Cat Friendly Care
Careers
Benefits & Perks
Services
How We Differ
Pet Parents
Payment Options
After Hours
Online Pharmacy
Blog
Client Referrals
Events
Forms
Reptile Husbandry & Fear Free Pre Visit Questionnaire
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone
*
History
Please describe the main reason for bringing your pet in for an exam. Include any observed symptoms or changes in behavior that you’ve noticed.
Have you attempted any treatments or interventions for your pet’s condition?
*
Are there any past health concerns or diagnoses that your pet has experienced? This could include any chronic conditions, surgeries, or ongoing medications your pet has received. Please provide as much information as possible.
*
Any difficulty with shedding? When was last shed?
Has there been any contact with new reptiles/amphibians in the last 30 days?
Yes
No
Any change in your pet’s behavior?
*
Have any other animals or people at home been ill in the last 30 days?
*
Yes
No
Have their been any changes in fecal material, urine, urates?
*
Habitat
Decor and furnishings (hide boxes, branches, etc)
Substrate type
*
Cage ventilation (grills/mesh)
*
Cage location
*
Percentage of time in/out of cage
*
Heating equipment and schedule
*
Temperature range (warm/cool sides)
*
UV lighting presence, distance, and replacement frequency
*
Cage humidity measurement and level
*
Day and night temperatures (hottest/coolest areas)
*
Recent environmental changes
*
Warm water soaks frequency
*
Diet
Feeding frequency and location
*
Types and amounts of foods (insects, vegetables, rodents, etc). If insects, please include if they are gut-loaded or dusted.
Nutritional supplements (type, amount, frequency)
*
Water supply (type, method, frequency)
*
Please include photos of your pet’s cage setup, foods, medications, and supplements.
Click or drag files to this area to upload.
You can upload up to 10 files.
Fear Free
What does your pet like? What helps keep them calm?
What does your pet dislike?
Does your pet enjoy handling?
If your pet has any favorite treats, please bring them with you to the appointment!
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