Skip to content

Urgent Care Hours Every Monday & Friday: 5pm-8pm

810-985-8300 Call

Make An Appointment

Home
Our Hospital
Services
Urgent Care
Shop Online
Contact Us

Home
Our Hospital
Services
Urgent Care
Shop Online
Contact Us

Make An Appointment 810-985-8300

Home » Forms » Pocket Pet History Form

Pocket Pet History Form

"*" indicates required fields

Date*

MM slash DD slash YYYY

Pet's Name*

Breed*

Sex*

Male

Female

Age*

Is this a companion animal or are you a breeder?*

Companion Animal

Breeder

Background Information

Length of time owned*

Where was the pet acquired?*

Pet Store

Other

If Other, please explain*

How often is the animal handled?*

Daily

Occasionally

Never

Character of feces*

Husbandry

Housed indoors or outdoors?*

Indoors

Outdoors

Is animal allowed to roam free in the house?*

Yes

No

Where is the cage located?*

Type of caging*

Galvanized?*

Yes

No

Size of cage*

Cage substrate*

How often is the cage cleaned?*

What type of disinfectant is used when cleaning cage?*

Type of cage furniture*

Are there chew toys in available in cage?*

What are they made of?*

Nutrition

Are pellets being offered?*

Yes

No

If yes, what brand?*

Amount fed/frequency*

Supplements offered and frequency

i.e. seeds, vegetables, etc

Water source?*

How often is water changed?*

Any other pets?*

Yes

No

If yes, please specify*

Any other pocket pets?*

Yes

No

If yes, please specify*

Are animals housed together or apart?*

If not housed together, where are the other animals located?*

Any new additions to the pocket pet population?*

Yes

No

If yes, please specify*

Past Medical History/Problems

Current presenting problem*

Duration of complaint*

Comments

This field is for validation purposes and should be left unchanged.

Make An Appointment

Pharmacy

Find Us

Pet Records

Prescription Refill

Make An Appointment 810-985-8300

Lake Huron Veterinary Clinic

1825 Pine Grove Ave,
Port Huron, MI 48060

Pharmacy Download Our App!

Business Hours

Monday

9:00am - 9:00pm

Tuesday

9:00am - 5:00pm

Wednesday

9:00am - 5:00pm

Thursday

9:00am - 5:00pm

Friday

9:00am - 9:00pm

Saturday

8:00am - 3:00pm

Sunday

Closed

©Copyright 2024 - Port Huron Vet - Lake Huron Veterinary Clinic. Sitemap | Privacy Policy