Avian History Form Name Of Bird*Species*Age*Pet Bird/Breeder*Background InformationLength of time ownedWhere acquired?Vaccination HistoryWhen was last molt?Character of fecesHow often is bird handled?DailyOccassionallyNeverIs bird ever taken outside?YesNoHusbandryHoused Indoors/Outdoors?Where is cage located?Type of CagingSize of CagingGalvanized?YesNoCage Substrate?How often is cage cleaned?What type of disinfectant is used when cleaning cage?Types of toys/perches offered?NutritionType of food offeredPellets?YesNoIf yes, what brand?Amount fed/frequencySeed?YesNoIf yes, what type?Amount fed/frequencyFruits?YesNoIf yes, what types?Amount fed/frequencyVegetables?YesNoIf yes, what types?Amount fed/frequencyTypes of Supplements/Treats offeredWater SourceHow often is water changed?Any other birds?YesNoIf yes, specifyAny other pets?YesNoIf yes, specifyBirds are housed together or singly?TogetherSinglyIf not housed together, where are other birds located?Any new additions to the bird population?YesNoIf yes, specifyWere the new additions properly quarantined separate from rest of bird population?Past Medical History/ProblemsCurrent Presenting ProblemsDuration of Problem
