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Mammal History Form
Mammal History Form
Client Name
*
First
Last
Animal Name:
Date
MM slash DD slash YYYY
Species:
Age:
Sex;
Pet Animal/Breeder
Background Information:
Length of time owned
Where acquired?
Breeder
Pet Store
Other
How often is animal handled?
Daily
Occasionally
Never
Fecal Consistency
Husbandry:
House Indoors/Outdoors?
Free roam time?
Yes
No
How long?
Type of caging:
Size of cage:
Where is cage located?
Cage furniture:
Cage substrate:
Types of toys:
Frequency of cage cleaning?
Type of disinfectant used to clean cage?
Nutrition:
Type of food offered (Please give % of hay, pellets, fruits, & veggies eaten daily):
Amount fed & frequency:
Supplements & treats offered and frequency?
Water source?
How often is water changed?
Any other pets?
Yes
No
If yes, specify
Any other pocket pets?
Yes
No
If yes, specify
Are animals housed together, where are other animals located?
Any new additions to the pocket pet population?
Yes
No
If yes, specify
Past Medical History/Problems:
Current Presenting Problem:
Duration of Complaint:
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Call us or schedule an appointment online.
2
Meet with a doctor for an initial exam.
3
Put a plan together for your pet.
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