Avian Patient Information Form

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Avian Patient Information Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit. 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.

Owners Name (First, Last) *

Pet’s name

Species

Age

Length of time in household

Last weight if known

Obtained from

Other pets in the house hold

If Yes, number and type of pets

Diet Information

Diet (brand name)

Contains :

Seed

Pellets

Fruit/Veggie

Other

Do you provide cooked food?

If Yes, please explain contents

List any other food or treats

List any supplements or vitamins

Housing Information

Type of cage (powder coat, stainless steel, etc)

Is your bird house with other birds

If yes, explain

Type of substrate

Dimensions of cage

Length of time indoors/day

Time outdoors/day

Hours of light/day

Type of light provided

Average daily temp

Is your bird showered or given water baths?

If so, how often

Medical Information

Previous medical history/conditions

Current medications

Presenting Complaint

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Our High-Quality Veterinary Services in Tucson, AZ

Our team at Sonoran Veterinary Center is excited to meet you and your pet! We proudly serve a wide variety of pets in Southern Arizona and beyond. Book an appointment below!

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