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  • Avian Feather Picking/Plucking Questionnaire

    Please take a few moments to complete the following information so that we may best care for your pet. PLEASE NOTE: If you have more than one pet scheduled, this form will need to be completed for EACH pet.
  • Do you already have an appointment scheduled for this pet?*

  • Appointment Information

  • What date is your pet's appointment scheduled for?*
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  • Patient Information

  • Pet's sex*

  • Information About the Home

  • Does anyone in the house smoke cigarettes?*
  • If yes, do you/they smoke around the bird?
  • Does anyone use cleaning products around the cage?*
  • Are there any children under 10 years of age in the house?*
  • Are there any other pets in the room with the bird?*
  • Have there been any increases/decreases to pets in the house?*
  • Have there been any changes to the house (i.e. paint, carpet)?*
  • Are there any new people living in the house?*
  • Has anyone left the household?*

  • Information About the Bird

  • Have there been any changes to the cage (i.e. toys, food)?*
  • Have there been any behavior changes in your bird?*
  • Has your bird been diagnosed with a medical illness before?*
  • Is your bird caged with or play with another bird(s)?*
  • If female, has she ever laid eggs?*
  • Does your bird vocalize when picking or plucking?*
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  • Please contact us to schedule your pet's appointment.

    You are receiving this message because you selected that your pet does not already have an appointment scheduled. Please contact us for further help.

  • To Contact Us:

    Phone: (813) 818-0087

    Text: (813) 818-0087

    Email: westchasevet@gmail.com

    Website: www.westchasevet.com

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  • To Contact Us:

    Phone: (813) 818-0087

    Text: (813) 818-0087

    Email: info@westchasevet.com

    Website: www.westchasevet.com

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