Pumpkin Hill Veterinary Clinic
Exotics History Form
Client Name
Patient Name
Current Illnesses
Current Medications
Current Diet
How much and How often?
Vitamins/Supplements
Treats
Water Bowl - How many times changed per day?
Housing - Indoor or Outdoor? Specific location?
Housing enclosure made of what material?
Enclosure size (dimensions)
Bedding Used
Other
Exercise
Current Lighting
Lighting Location Relative to Pet
How Often Bulbs Changed
How Many Hours Daily
Time Spent Outside
Temperature Day
Temperature Night
Basking Area?
Heat Source?
Humidity Current %?
Mist/Soak?
Other
Enclosure cleaning frequency
Cleaning materials used
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