Acequia Animal Hospital

Reptile History Questions

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acequia animal hospital

Reptile History Questions

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. We look forward to meeting you and your pet!

Reptile History

Name(Required)

First Last

Phone

I consent to receive SMS text messages from Acequia Animal Hospital. Msg & data rates may apply. Reply STOP to opt-out.(Required)

Yes

Email(Required)

Pet Information

Pet's Name(Required)

Where was the animal obtained? How long ago?(Required)

Age, species, is the sex known?(Required)

Diet – what is offered, how often, and what is eaten?(Required)

If eating insects, are they gut loaded or dusted with calcium?(Required)

Gut loaded

Dusted with calcium

My pet does not eat insects

Where is the animal housed?(Required)

What is the temperature of then enclosure? Is there a temperature gradient? If so, what are the high and low temperatures.(Required)

Is there a basking light, and what is the temperature underneath it?(Required)

What heating elements do you have for the enclousure?(Required)

Do you turn off lights/heating elements at night?(Required)

Yes

Do you have UVB bulbs?(Required)

Yes

How often do you change them?(Required)

What is the humidity of the enclosure? How is humidty increased(Required)

What furniture is in the enclousre? Hidebox, branches, etc.(Required)

What is the substrate in the enclosure?(Required)

For snakes, when was the last shed? When was the last meal?

What other reptiles are in the enclousre? In the room?(Required)

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Phone

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Acequia Animal Hospital

Reptile History Questions

acequia animal hospital

Reptile History Questions

Reptile History

Pet Information

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