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Home
About
Our Veterinarians
Hospital Tour
Careers
Services
General
Dentistry
Digital Radiology
Emergency Veterinary Care
Cats
Anesthesia & Patient Monitoring
Cat Cancer
Cat Cardiology
Cat Dental
Cat Diagnostic Imaging
Cat Lab Tests
Cat Laparoscopic Surgery
Cat Laser Therapy
Cat Microchipping
Cat Nutrition
Wellness Care for Cats
Cat Spaying & Neutering
Cat Surgery
Cat Vaccinations
Kitten Care
Senior Cat Care
Dogs
Acupuncture
Cancer Referrals
Dog Dental Care
Parasite Prevention
Dog Diagnostic Imaging
Heartworm Prevention
Dog Lab Tests
Dog Laser Therapy
Dog Microchipping
Dog Nutrition
Wellness Care for Dogs
Dog Spay & Neuter
Dog Surgery
Dog Vaccinations
Puppy Care
Senior Dog Care
Exotic and Avian Care
Forms
Resources
Top Tips on Taking Your Cat to the Vet
Avian Resources
Exotic Mammal Resources
Reptile Resources
New Clients
Shop
Make an Appointment
(303) 757-5638
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Aquatic Turtles New Patient Form
Aquatic Turtles New Patient Form
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*
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Client Information
Name
*
First
Last
Phone
*
History
Pet's Name
*
Species
*
Age
*
Sex
*
Male
Female
Unknown
How do you know your pet's gender?
*
Where did you get your pet?
*
When did you get your pet?
*
Has your pet been to a vet before?
*
Yes
No
Where?
Any prior medical concerns?
Do you have any medical records?
Is your pet on any medications?
*
Yes
No
Please list medications
Habitat
What kind of habitat do they live in?
*
Where in the home is it located?
What size is the habitat?
*
What is the top covered with?
*
Is there any kind of substrate?
*
How often is it cleaned, and with what?
*
How much water is available for swimming?
*
What is the water source (ex: bottled, tap, etc)?
*
How often is it changed, what percent each time?
*
Is there a filter system?
*
Yes
No
What kind of filter system? (ie canister filter vs biofilter)
How many gallons is it rated for?
Any water additives / dechlorinators used?
*
Is there access to a dry basking area?
*
Yes
No
Basking temperature?
What is in the enclosure with your pet?
*
Hides? Plants (real or artificial)? Other “furniture” or decorations?
What type of light source(s) are used?
*
UVA? UVB?
How often is it replaced?
*
Where is lighting positioned?
*
What time is it turned on/off?
*
What type of heat source is used?
*
Is there a lamp?
*
Yes
No
Does the lamp also provide light?
Yes
No
How often is it replaced?
Where is it positioned?
Is there an underwater heater?
*
Yes
No
What barrier is between the heater and the pet?
Is the heat source ever turned off for any amount of time?
*
What is the typical water temperature?
*
How is the temperature monitored?
*
Diet
Do you feed in enclosure or in a separate feeding tank?
*
What is being fed?
Live Prey
Veggies
Pellets / Commercial Diet
Anything else?
Type, amound and frequency
Any supplements? (Ex: Calcium, multivitamin, etc)
*
Yes
No
Type, amount and frequency of each?
How is it provided?
Enrichment
Does your pet spend time outside of their habitat?
*
Yes
No
How often and for how long?
Inside or outside?
Are they ever allowed to roam unsupervised?
Does your pet interact with any other animals? What kind?
*
Is your pet routinely handled and by who?
*
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Date
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