Small Mammal History Form

Small Mammal History Form
- Name
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Pet Name
- Species
- Sex
- Age
  exact birthday or approximate age
- Color/Markings
  black and tan, white with pink tail, etc.
- How often is your pet handled?
  
  DailyOccasionallyNever
- Do you have other small mammals?
  
  Yes, shared cageNoYes, separate cage
- Other pets in shared cage*
- Please list any other pets in the household:
  2 dogs, 1 cat, 3 snakes, etc.
- Where did you get your pet?
  breeder, pet store, online, etc.
- How long have you had your pet?
  2 years, born in your care, etc.
- Does your pet have any past medical history?
  illnesses, vet visits, chronic symptoms, etc.
- Has your pet had any vaccines?
  
  YesNo
- Vaccines and date given
- Fecal Consistency
  soft, hard, formed, liquid, paste, etc.
- Do you use parasite prevention?
  
  YesNoOnly as needed
- What product do you use?
  Revolution, etc.
- When was most recent dose?
  
  MonthDayYear
  Date
- Enclosure Type
  metal cage, wooden hutch, glass tank, etc.
- Substrate
  wood chips, fleece, plastic tray, etc.
- How often is the enclosure cleaned?
  spot clean daily, deep clean weekly, etc.
- What do you clean the enclosure with?
  water only, enzyme cleaner, vinegar, bleach, etc.
- What types of toys and furniture are in the enclosure?
  wooden house, plastic wheel, metal shelves, cooling stone, etc.
- Does your pet go outside?
  
  YesNo
- How often? Supervised?
  daily supervised, weekly unsupervised, etc.
- How much do you feed? Please list brand and type of food (i.e. Oxbow timothy hay).
- How is water offered?
  
  BowlBottleOther
- What type of water is offered?
  
  Tap WaterBottled WaterOther
- How often is water changed?
- What is used to clean water container?
- Upload any previous records, if applicable, and include any photos of your pet and their environment that may be helpful. We strongly recommend at least uploading a picture of their enclosure.
- Document & Photo Uploads
  
  please attach previous records (if available) and any photos you'd like to share of your pet and/or their enclosure!
  Cancelof
- Should be Empty: