Email(Required)

Today's Date(Required)

Patient Information

Gender(Required)

Date of Birth(Required)

Date Acquired(Required)

Source (pet store, breeder, previous owner, etc.)(Required)

Number of previous owners(Required)

Other countries/states in which your pet has lived(Required)

Environment

Cage type(Required)

Dimensions(Required)

Lining/substrate(Required)

How often and for how long do you let your pet out of its cage?(Required)

At what temperature is the enclosure maintained?(Required)

Please indicate any recent changes to the enclosure

Please describe any other furnishings or objects in cage(Required)

Please list all pets in your household (please indicate if they are housed in the same cage as the patient)(Required)

Diet

Have you changed the pet's food recently? If so, when and why?(Required)

List all food and treats given to your pet. Please include brand, type (kibble, live/frozen prey, fruit, treats, etc.), amount consumed, and how often the food item is given.(Required)

Reproduction

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Section Break

How many litters has your pet had/sired previously?(Required)

When was the last litter?(Required)

How many kits?(Required)

Please list any health problems with the kits

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Section Break

Previous Conditions, Problems, or Operations

List any past procedures. Please include date the problem began, description of problem/procedure, and if the problem is resolved or ongoing.

Have you used any medications from a pet store?(Required)

Please tell us how your ferret has been doing recently, as well as any problems he/she has been having(Required)

If yes, when?(Required)

Please list tests performed(Required)

Please list medications given(Required)

Is there anything else you would like done today?(Required)

Phone

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Ferret Husbandry Form