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Location For Visit * --- Select Hospital Location --- Tucson, AZ Phoenix, AZ Mesa, AZ Denver, CO Portland, OR
Your Pet's Name *
Species *
Color *
How was sex determined? DNA blood test, surgical, laid eggs, color dimorphic? *
When and where did you acquire your pet? *
Any form of identification? Microchip, band, none? *
Do you have any other pets? If yes, please specify: *
What type of cage does your bird have? Briefly describe the cage and where it is located. *
How often is the cage cleaned? *
Method/frequency of cleaning food/water dishes? *
Are there any toys in your bird’s cage? Briefly describe. *
Does your bird spend time outside the cage? If so, are they supervised? *
Other birds sharing the cage? Or in direct contact? *
Does your bird have a full spectrum (UVB) light? If so, what brand? *
Do you cover the bird at night? How many hours of darkness does your bird have each day? *
Have there been any changes in the bird's environment? *
What kind of foods do you feed your bird and in what overall percentages? Pellets/Seed mix/Fruits/Veggies/Treats/Other? Please specify types/brands as well. *
Do you give your bird supplements? *
What percentage of your bird's diet is human foods? *
How is water offered? (bowl/sipper bottle/other) *
Please list any previous medical problems: *
Has your bird ever been tested for infectious diseases/viruses? List tests if yes. *
Have there been any changes in your bird's droppings? *
Does your bird have any behavior problems? Please describe: *
Any current or recent medications? Please list types and dosages: *
Is your bird groomed regularly? Who does the grooming? *
Do you bathe your bird? If so, how often? *
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