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Avian Pre-Examination
Avian Pre-Examination Form
Species
*
Pet's Name
*
Where did you acquire your bird?
*
How long have you owned your bird?
*
What do you feed your bird? (Please list all food items, percentages if multiple food items offered, and what your bird actually eats)
*
Do you use a vitamin supplement?
*
Yes
No
If you use a vitamin supplement, what type do you use?
How often do you feed your bird?
*
How often do you clean the food bowl?
*
Do you cover your bird at night?
*
Yes
No
If so, what time do you cover your bird at night?
Does your bird go outside?
*
Yes
No
Are your bird's wings clipped?
*
Yes
No
If so, how long ago were they clipped?
What type of enclosure do you have for your bird?
*
How big is the enclosure?
*
What substrate do you have on the bottom of the cage?
What cage decorations/toys are in the enclosure?
Has your bird been tested for Polyoma?
*
Yes
No
Please list results.
Has your bird been tested for Beak & Feather disease?
*
Yes
No
Please list results.
Has your bird been tested for Pachecos (Herpes)?
*
Yes
No
Please list results.
Has your bird been tested for Psittacosis?
*
Yes
No
Please list results.
Has your bird been vaccinated for Polyoma?
*
Yes
No
Has your bird been vaccinated for Pachecos?
*
Yes
No
Exposure to other birds? Recent handling of other birds?
*
Yes
No
If yes, please explain.
Are there other pets in the house?
*
Yes
No
If yes, please list the number and type of pets.
Has your bird had a fecal gram stain performed within the last year?
*
Yes
No
Has your bird had a blood profile performed within the last year?
*
Yes
No
Has your bird been DNA sexed?
*
Yes
No
Has your bird laid eggs?
*
Yes
No
If so, when was the last time they laid and how many eggs were there?
Please list any previous medical problems or past concerns.
*
Close Menu
Urgent and Emergency Care
Meet the Doctors
Specialties
Surgery
Cardiology
Neurology
Oncology
Internal Medicine
Ophthalmology
Dentistry
Dermatology
Anesthesia
Pet Owners
Online Payment
Prescription Refills
Pre-registration
Surgery Admission Form
For Vets
Online Referral
CVETS Connects
Referral Documents
More
Careers
Leadership
Nurses and Staff
CVETS Blog
Contact Us
Call Now: 803-995-8913
Get Directions
Online Payment
CVETS Connects
Online Referral
Employee Login
Intern Login
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