Rabbit History Form Name Of Rabbit*Breed*Sex*Age*Companion Animal BreederBackground InformationLength of time ownedWhere acquired?Character of fecesHow often is rabbit 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?NutritionType of food offeredPellets (Brand & Frequency)Hay (Brand & Frequency) Supplments offered and frequencyie: grass, carrots, lettuce, etc.Water SourceHow often is water changed?Any other pets?YesNoIf yes, specifyDo other pets interact with rabbit?YesNoAny other rabbits?YesNoIf yes, specifyAre rabbits housed together or singly?TogetherSinglyIf not housed together, where are the other rabbits located?Any new additions to the rabbit population?YesNoIf yes, specifyPast Medical History/ProblemsCurrent Presenting ProblemsDuration of Complaint
