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Hours & Contact
Hospital Hours:
Mon - Thurs: 8:00am - 7:00pm
Fri: 8:00am - 5:00pm
Sat: 8:00am - 12:00pm
Hospital Contact Info:
Phone: (262) 846-6006
Fax: (262) 781-5278
[email protected]
Pet Resort Hours:
Mon - Fri: 6:30am - 6:00pm
Sat and Sun: By Appointment Only
Pet Resort Contact Info:
Phone:
(262) 384-6771
[email protected]
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Reptile Medical History
Reptile Medical History
For our records
This is my current contact information
My contact information has changed and I need to update my records
Pet's Name
Owner Name
First
Last
Species
- None -
Snake
Lizard
turtle
tortoise
crocodilian
How did you obtain your pet?
Wild caught
captive born
captive bred
Place acquired/previous owner
How long have you been keeping this individual
Any recent contact with other reptiles, please give details?
When was the last new reptile added to your collection?
Date of last skin shed
How often has shedding occurred?
Describe any reproductive history or egg-laying:
Purpose of visit today
If illness, describe signs, duration, and severity:
List any medications you are giving:
Describe any changes in droppings (urine, urates, or feces)
Describe any recent changes in behavior:
Have any other animals or people in the household been sick lately?
Describe any previous illness and treatment:
List previous veterinarian, if any:
Diet
What food items are offered:
What is eaten:
How often fed
Method of feeding (e.g., live, fresh killed, thawed,blended):
If diet includes insects, are they fed and watered before being offered to the reptile?
Describe items provided as feed to the insects:
Any vitamin/mineral supplements including brand name:
Water
Dimensions of dish or tank (including depth):
How often is container filled?
How often is container cleaned?
Housing
Dimensions & building materials of cage:
Describe cage furnishings:
Type of bedding/substrate:
Frequency of cage cleaning:
Method of cleaning/products used:
Kept alone or with how many others:
What other species:
Temperature range: at basking site:__________ away from basking site:________nighttime:________
Describe thermometer(s) in use:
Describe heating equipment (ceramic heat emitter,under-tank heater, light bulb, aquarium heater, thermostat control, etc):
Humidity range:
Lighting: Type and brand name of lamp:
Hours of light per day:_________ Is the light on a timer?________ How old is the bulb?
Any access to natural sunlight?_______ If so, is it through glass or screen?
Handling
How often:
By whom:
STATEMENT OF FINANCIAL RESPONSIBILITY
Name / Signature
First
Last
Date
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