Animal Hospital at Grayhawk

Reptile/Amphibian Husbandry Form

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Reptile/Amphibian Husbandry Form

Please complete the form below, and a member of our team will get back to you if we have any questions. Thank you!

Name *

First

Last

Phone *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Pet Information

Pet’s Name: *

Pet’s Species:

Pet’s Age:

Pet sex (if known):

Where did you get your pet?

How long have you had your pet?

Do you own any other reptiles/amphibians? *

If yes, what kind?

Enclosure type (please include indoor/outdoor) *

Dimensions (LxWxH):

Cage furniture:

Substrate:

Describe your method of heating:

How is heating measured?

How is humity measured?

What lighting do you use?

Is there UVB?

How often do you replace the bulb?

Does your pet get any natural sunlight? *

What do you feed your pet (include frequency)? *

What supplements do you feed your pet?

How do you provide water?

Last shed (if applicable)

For aquatic animals only: How do you measure your water quality? pH, ammonia, temperature, nitrates, nitrites, etc:

Please upload images of your pets enclousre

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Animal Hospital at Grayhawk

Reptile/Amphibian Husbandry Form

Reptile/Amphibian Husbandry Form

Pet Information

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