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Avian History Form


Please answer these questions to the best of your knowledge and bring with you on the day of your birds appointment. A detailed history is essential to provide the most appropriate veterinary care for your animal. If there is anything you are unsure about you can discuss it with the veterinary team during your appointment

Animal details
Is your bird:
Has your bird been used for breeding?
Is your bird vaccinated?
Do you have any other birds or pets?
Have you or your bird had any contact with other bird in the last 30 days?
Have you noticed any change in your birds behaviour:
Have any other animals or persons in the household had any illnesses in the last 30 days?

Indicate which food are eaten and in what amounts (nuber; weight or approx value)

Do you use any nutritional supplements?
What water supply do you provide?
Have you noticed any changes in feeding or drinking behaviour?
Have you noticed any changes in droppings (faecal material, urine and urates)?
Cage Environment
Where is the Cage located?
What decor and furnishings are present?
Are bathing / spraying facilities provided?

What % of time does your bird spend inside and outside its cage?

Is your bird supervised when outside the cage?
Does anyone in the household smoke?
Do you use any aerosol products?
Have there been any changes in the birds environment in the last 3 months?
Form submission

Sandhole Veterinary Centre is part of Linnaeus Veterinary Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy.

The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes.

You must be 16 years old or older to submit a form.


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