Emergency 0113 2369030
Out of hours 0113 2369030
Holly House Veterinary Hospital 0113 2369030
Holly House Veterinary Clinic 0113 2369030
Holly House Veterinary Clinic, Ilkley 01943 609285
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Emergency 0113 2369030
Out of hours 0113 2369030
Holly House Veterinary Hospital 0113 2369030
Holly House Veterinary Clinic 0113 2369030
Holly House Veterinary Clinic, Ilkley 01943 609285

COVID-19 update: Client advice on what to do during the Coronavirus pandemic

Exotic Pet History Form

Exotic Pet History Form

To help us get to know you and your pet better, please answer these questions before your appointment (appointments must be booked in advance).

About You and Your Pet

Mutation or Morph?:


Do you have current CITES paperwork? (if applicable):


Are they Microchipped?:

If they are microchipped, are their details up to date?:

Do you have insurance? :

Your pet's gender:


Captive Bred or Imported? :

Have you got other exotic pets in your collection, of the same species or different? :

Has your pet ever shown any signs of reproductive activity, for example mating, egg laying, nesting behaviour etc?:

Housing Setup

Please enter day temperature and night temperature
Is a thermostat used? (if applicable):

Is a thermometer used?:

Is humidity monitored if applicable?:

Do you use a humidity chamber, spray system or fogger? :

Is a water filter used, if applicable?:

Is water quality monitored? :

Is an ultra-violet lamp used? :

Do you use a timer for the light? :

Diet

Any supplements used?:

If applicable, are any insects feed gut-loaded?:


Medical History

Was the faeces normal? :

Was the urine normal?:

Has your exotic pet ever been tested for parasites? :

Has your exotic pet ever been treated for parasites? :

Have you been to another vets previously?:

Any current health concerns? :

Any recent behavioural changes? :

Security Question: