Loving Family Vet - Reptile Care Sheet

1

General Information

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2

Species

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3

Date of Birth (or suspected age)

Date

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4

Sex

M

F

Unknown

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5

How long have you had this pet?

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6

Cage dimensions?

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7

Is this cage shared with any other pets?

Yes

No

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8

If yes, what is that pet’s species, gender and age?

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10

if Other, please specify

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12

if Other, please specify

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14

How often is the cage cleaned?

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15

How often is the cage disinfected?

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16

Disinfectant used?

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17

Please list all food items, and their approximate percentage of the total dietFood items

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18

Percentage

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19

Frequency of feeding (daily, every other day, weekly, etc)

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20

Please list any dietary supplements usedCalcium

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21

Frequency

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22

Brand

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23

Multivitamin

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24

Frequency

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25

Brand

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26

Other

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27

Temperature range

Low

High

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28

How is temperature measured?

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29

Do you decrease the temperature for seasonal hibernation? If yes, please describe

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30

Heating method (please check all that apply)

Heat bulb (fluorescent, ceramic, halogen, etc.)

Heating pad/tape

Heat rock

Radiant Heat panel

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31

if Other, please specify

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32

Photoperiod : Total hours of light each day

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33

Lighting method

Filtered sun (through a window)

Direct sun light

Room light

UVA/UVB bulb (Linear or spot light)

Fluorescent/incandescent bulb (NO UVB)

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34

how often is it changed? UVA/UVB

brand? UVA/UVB

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35

how often is it changed? Fluorescent/incandescent

brand? Fluorescent/incandescent

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36

PercentageIf unknown, compared to the room humidity it is: lower same higher

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37

Is a humid hide used? (area of high humidity)

Yes

No

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38

How is water offered (please check all that apply)

Bowl

Spray/mist

Rain or drip system

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39

if Other, please specify

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40

Date of last fecal examination

Date

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41

Any parasites identified?

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42

Date of last shed

Date

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43

Was it normal?

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44

Any past illnesses? If yes, please describe condition and when it occurred

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45

Any other reptiles in your home that have been sick?

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46

Any new reptiles in the house?

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