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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 enclosure does your bird have? *
Briefly describe the enclosure and where it is located. *
How often is the enclosure cleaned? *
Method/frequency of cleaning food/water dishes? *
Does your bird spend time outside the enclosure? If so, are they supervised? *
What temperature is the enclosure? *
cleaned? supervised? How
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 calcium? *
How is water offered? *
Please list any previous medical problems: *
If your bird lays eggs, how often does she lay? *
List any egg-laying concerns. *
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: (copy) *
Any current or recent medications? Please list types and dosages: *
How many birds are in your flock? *
