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Form
Exotic Intake
Form
Save time during your next appointment! Complete your required forms online from any device at any time before your visit.
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Exotic Intake Form
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.
Name
(Required)
First
Last
Email
(Required)
Pet's Name
(Required)
Reason for Visit
(Required)
Species
(Required)
Breed
(Required)
DOB (if unknown, please write approximate age)
(Required)
Sex and neuter status
(Required)
How long have you owned your pet?
(Required)
Where did you get your pet from?
(Required)
What other pets do you have and are they in contact?
(Required)
Housing
Is your pet indoors or outdoors?
(Required)
Indoors
Outdoors
Do they ever have outdoor access?
(Required)
Yes
No
Are they free roaming indoors/ unsupervised/ always in enclosure / given limited supervised time?
(Required)
Free roaming indoors
Unsupervised
Always in enclosure
Given limited supervised time
Please describe their enclosure- size, type, flooring, bedding, toys etc.
(Required)
Please describe exercise time.
(Required)
How often is their enclosure cleaned and what cleaning products are used?
(Required)
Diet
What food does your pet eat?
(Required)
What fruits, vegetables and treats are given?
(Required)
Does your pet drink out of a water bottle, water bowl or both?
(Required)
Water bottle
Water bowl
Both
Name
This field is for validation purposes and should be left unchanged.
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