Pocket Pet History Form Name Of Animal*Breed*Sex*Age*Background InformationLength of time ownedWhere acquired?Character of fecesHow often is animal handled?DailyOccassionallyNeverHusbandryHoused Indoors/Outdoors?Is animal allows to roam free in the house?*YesNoWhere is cage located?Type of CagingSize of CagingGalvanized?YesNoCage Substrate?How often is cage cleaned?What type of disinfectant is used when cleaning cage?Type of cage furnitureAre there chew toys available in cage? What are they made of?NutritionType of food offeredPellets?YesNoIf yes, what brand?Amount fed/frequencySupplments offered and frequencyie: seeds, vegetables, etc.Water SourceHow often is water changed?Any other pets?YesNoIf yes, specifyAny other pocket pets?YesNoIf yes, specifyAre animals housed together or singly?TogetherSinglyIf not housed together, where are the other animals located?Any new additions to the pocket pet population?YesNoIf yes, specifyPast Medical History/ProblemsCurrent Presenting ProblemsDuration of Complaint
