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946 Lake Baldwin Lane
Orlando, FL, 32814
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Small Mammal Health History
Client Name
*
Phone
*
Email
*
ABPOUT YOUR PET
Species
*
Age
*
Gender
*
Male
Female
Unknown
Where did you acquire your pet?
*
Breeder
Pet Store
Wild Caught
Rescue
How long have you owned this pet?
*
Housed alone or with others?
*
Alone
With others
Past illnesses or significant medical history
*
How often is your pet handled?
*
What types of play and interaction?
*
Is your pet vaccinated?
*
Yes
No
Is your pet on parasite prevention?
*
Yes
No
Any changes to appetite, thirst, urination, defecation?
*
Changes to behavior?
*
Your Pet's Husbandry
Sunshine: Does your pet have outside time? How often and for how long?
*
Water source: how often is it changed? Bottle vs bowl?
*
Bathes: Does your pet get bathes? How frequently, with what?
*
Enclosure: Size of area, size of bars, made of glass/plastic/wood/metal, material at bottom of cage, furniture inside
*
Where is enclosure located in home? Away from other pets? Near windows?
*
Cleaning enclosure: How frequent and with what products?
*
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