Online Forms

Reptile 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: Number of insects per feeding

Amount of greens per feeding and type

How often do you feed your reptile?

How often does your reptile pass droppings?

Do you gut load your insects?

If Yes, with what?

Do you dust your insects?

If Yes, list products used and frequency

Do you provide a pelleted diet?

If Yes, what type

If your reptile eats other prey, list what kind, how many and frequency of feeding

List any other supplements or vitamins

Housing Information

Type of cage (Aquarium, screen, etc)

Is your reptile house with other pets

If yes, explain

Type of substrate

Dimensions of cage

Length of time indoors/day

Time outdoors/day

Hours of light/day

Type of lights provided

How often is each light changed

Type of heat source

Average daily temp at basking area

Average daily temp at cool side

Average night time temperature

Average humidity (list daily highs and lows if known)

Do you soak your reptile

If so, how often

How often is your reptile’s enclosure cleaned and with what products

Medical Information

Previous medical history/conditions

Current medications

Presenting Complaint

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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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