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Hours 2752 W Lawrence Ave Suite 3
Chicago, IL 60625

Small Mammal Form

My name is:*

My small mammal's name is:*

General Information

Is your animal a pet or a breeder?

Pet

Breeder

Where did you get your animal?*

How long have you had them?*

Vaccines/Medications/Health

Has your pet seen a veterinarian before? **If so, please have records sent to animalhouseofchicago@yourvetdoc.com in advance or bring them to your appointment*

Does your pet have any chronic health issues (e.g. GI stasis, insulinoma)?*

Has your pet had any vaccines in the past (i.e. RHD2, ferret rabies/distemper)?*

Any medications or supplements given? *Please be as specific as possible.**

Enclosure

What kind of enclosure do you have? What material? What are the dimensions?*

Are there toys/enrichment objects available?*

If known, what is the average temperature? Is there a heat source available?*

How often is it cleaned out?*

Please list any cleaning agents used:*

If your pet has time outside of the enclosure, how long? Is the time supervised?*

What substrate is used?

If your pet uses a litterbox, what litter is used?

Are there other pets in the household? If so, what kind? Do they have contact with this pet?*

Feeding

Please list the quantity, brand, and type of each food source.

Pellets:
Hay:
Fruits/Veggies:
Treats:
Other:

Any recent diet changes? If so, what did you change?*

Do you give tap or purified water?*

Do you use a water bowl or water bottle?

How often is food & water changed?

Please list any cleaning agents used.

**Chinchillas only: How often do they take dust baths?

Is there anything else you would like us to know about your small mammal?

Animal House of Chicago