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Small Mammal Pre-Examination
Small Mammal Pre-Examination Form
Species
*
Pet's Name
*
Where did you acquire your pet?
*
How long have you owned your pet?
*
What do you feed your pet? (Please list all food items)
*
If multiple food items, what percentage of each? And what does your pet actually eat (i.e. hay, pellets, vegetables, etc.)?
*
Do you use a vitamin or other supplement?
*
Yes
No
If you use a vitamin supplement, what type do you use?
*
Does your pet drink from a bowl or water bottle?
*
What type of enclosure do you have for your pet?
*
How big is the enclosure?
*
What substrate do you have on the bottom of the enclosure? How often do you clean it?
*
What cage decorations are in the enclosure?
*
Is your pet litter box trained?
*
Yes
No
If your pet is litter box trained, what type of litter do you use?
Are there any toys or other items that are available to your pet?
*
Yes
No
If your pet has access to toys or any other items, please list what they are.
Does your pet get free time out of their cage?
*
Yes
No
If your pet gets free time out of their cage are they supervised?
Yes
No
If your pet gets free time out of their cage, describe their free range area.
Has your pet been vaccinated for Rabies?
*
Yes
No
If so, what year?
Has your pet been vaccinated for Distemper?
*
Yes
No
If so, what year?
Is your pet on flea or heartworm prevention?
*
Yes
No
If so, what type?
Has your pet had a blood panel performed within the last year?
*
Yes
No
Please list any previous medical problems or past concerns.
*
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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
Employee Login
Intern Center
Careers
Leadership
Nurses and Staff
CVETS Blog
Contact Us
Call: 803-995-8913
Directions
Online Payment
CVETS Connects
Online Referral
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