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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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Hedgehog New Patient Form
Hedgehog 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
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?
Habitat
What kind of habitat do they live in?
*
What size is the habitat?
*
Is the habitat multilevel?
*
What bedding is in the habitat?
*
How often is it cleaned?
*
What is it cleaned with?
*
Any hides/furniture?
*
Is there a wheel?
*
Yes
No
What is it made of?
What is the enclosure temperature?
*
What heat source is used?
*
Diet
Pellet type and brand?
*
Amount and frequency?
*
Are veggies and fruits offered?
*
Yes
No
Types?
Amount and frequency?
Are insects / small prey offered?
*
Yes
No
Types?
Amount and frequency?
Treat type and brand?
*
Amount and frequency?
*
What water source is offered?
*
How often is it cleaned?
*
Are any supplements offered?
*
Yes
No
Type, amount, and frequency
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 have access to toys?
*
Yes
No
What kind?
How often are they changed/cleaned?
Does your pet interact with any other animals?
*
Yes
No
What kind?
Is your pet routinely handled?
*
Yes
No
By who?
Signature
*
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Date
*
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Email
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