Does your pet ever go outside? (required) Are your pet’s wings kept clipped? (required) Does your pet live primarily in a cage? (required) If Yes, what are the dimensions of the cage? If No, or if your pet is ever allowed out of cage unsupervised, where does your pet live and/or play? (i.e. what rooms)? Where is the cage located? (required) Does your pet share a cage/habitat with any other pets? (required) Does your pet interact or live with other pets, outside of a cage (including supervised playtime)? (required) What bedding / cage lining do you use in your pet’s habitat? (required) Is your pet separated from bedding / cage liner by a grate? (required) How many perches are available in the cage? (required) Approximately how wide are perches? (Diameter) Widest: (required) Approximately how wide are perches? (Diameter) Narrowest: (required) How many perches are sandpaper or other rough texture? (required) Is there a nest box or other hiding spot in cage / living area? (required) What sort of toys does your pet have? (required) Are there any live plants in your pet’s habitat, or in areas of the home where your pet plays? (required) If Yes, what kind: Are the room(s) where your pet lives / where cage is located air conditioned? (required) Are the room(s) where your pet lives / where cage is located heated? (required) What is the typical temperature? (required) Please tell us about anything else that is in your pet’s habitat: What packaged food does your pet eat? (Brand & Variety) (required) This food contains: (required) What fresh foods (fruits, veggies, table scraps) does your pet eat? (required) How often are fresh foods fed? (required) How much fresh foods do you feed? (required) Do you give a vitamin supplement? (required) Are vitamins put in the pet’s water? (required) Does your pet have water available for bathing, and/or do you mist regularly? (required) When was your pet’s last molt? (required) Has your pet ever laid an egg? (required) If Yes, when: How many eggs: The eggs... Was breeding intentional? Please tell us about any history of behavioral problems (i.e. feather picking, biting, etc.): Patient Name: (required) Today's Date: (required)
:
Appointment Date & Time (required)
:
Processing ....
