Rabbit And Rodent Information Sheet - University Animal Clinic printable pdf download

Rabbit And Rodent Information Sheet - University Animal Clinic

UNIVERSITY ANIMAL CLINIC

8239 Cooper Creek Blvd

University Park, Florida 34201

(941) 355-7707

Leigh Samanowitz, DVM

Alison Fink, DVM

________________________

Rabbit & Rodent

Date: _______________

Instructions: An accurate history of your pet is extremely important. We would appreciate your cooperation in

providing us with the following information. Please check the appropriate boxes or use the spaces provided.

Thank You.

Patient information: Species: __________________________________________________

□

Gender: Male

Female

Unknown

□

Yes ❑

No ❑

Spayed/ Neutered

Unknown

Date of birth: ____________________________

Date acquired and source (pet store, breeder and previous owner): __________________________________

Number of previous owners (other than the breeder or store): _______

What states and countries has your pet lived in? __________________________________________________

Environment

Is the animal kept in doors or outdoors? ________________________________________________________

Describe the cage enclosure (type, size, objects in the cage, dust baths, toys, etc.): _____________________

_________________________________________________________________________________________

What material is used to line the bottom of the cage/litter pan? _____________________________________

Yes ❑

No ❑

Is the animal kept in a cage with other animals?

Rabbit And Rodent Information Sheet - University Animal Clinic