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Location For Visit * --- Select Hospital Location --- Tucson, AZ Phoenix, AZ Mesa, AZ Denver, CO Portland, OR
spend Pet is
Your Pet's Name *
Species *
Color *
How was sex determined? Visual, surgical, probe, laid eggs? *
When and where did you acquire your pet? *
Do you have any other pets? If yes, please specify: *
What type of enclosure does your pet live in? Please also describe approximate dimensions (3ft x 1.5ft, 40gal, etc.) *
Do you use a hygrometer (humidity meter)? (Yes/No) *
What is the current humidity reading? (Enter percentage. If you don't use a hygrometer, enter "N/A") *
How is the enclosure heated? Light, heating pad, heat rock, etc? *
Do you use thermometers? If so, where are they located? *
What is the temperature on the warm end/basking area? (Enter reading in °F or °C. If you don't use a thermometer, enter "N/A") *
What is the temperature on the cool end? (Enter reading in °F or °C. If you don't use a thermometer, enter "N/A") *
Do you use a UVB bulb and if so, what brand and size? *
When was your pet's UVB bulb last replaced? (Enter approximate date. If you don't use a UVB bulb, enter "N/A") *
What is the substrate (bedding)? *
What is the water source? *
Are there plants, branches, or other climbing structures? Please describe *
Is there a hiding area? Please describe *
Are there any other reptiles housed in the same enclosure? Please describe. Also, how long have they been together? *
Does your reptile spend time outside of its enclosure? If so, where and for how much time? *
Do you soak your reptile? If so, what frequency? *
How often is the enclosure cleaned? Please also list what products you use to clean the enclosure, if any. *
What foods are offered to your reptile? Describe percentages if possible *
Do you feed live or frozen prey? *
How often do you offer food? *
Do you feed your reptile in the same enclosure that it lives in? If not, please describe where you feed your pet. *
If insects are fed, are they gut-loaded? *
Do you add vitamin or calcium supplements to the food? If so, what kind/brands and how often? *
Please list any previous medical problems: *
Any current or recent medications? Please list types and dosages: *
Have there been any changes in your pet's environment or diet? Please describe: *
Does your reptile have any seasonal behavior changes? Please describe: *
How often are they handled? *
