Pet Name: *
Species/Breed/Variety:
Describe
Other
Wild Caught
Domestic Bred
Last shed?
Cage type and Size
Cage mates? (fish, snails, isopods included) If so, how many and what sex?
Does pet have access to entire house?
Other special quarters? (Pond, bathtub?)
Any other heat devices? (Heat rock, under tank heater, ceramic heater, etc?)
Does your pet have a UVB light?
If so, coil bulb or strip?
How often do you change the UVB bulb?
Humidity in tank?
How do you maintain humidity in tank? (Drip system, misting, repti fogger? Etc)
Enclosure substrate covering bottom of cage:
Decorations/toys/hides/plants in enclosure:
Basic primary food(s)
How often are these offered?
Other food’s offered?
Any supplements? If so, how often and what kind?
If so, how often and for how long?
Do you do any type of grooming? (Nail trims, etc?)
Do you use any sprays? (Shell conditioner? Shed ease? etc) If so, what and how often?
What is the water depth?
What type of water conditioner do you use? If any?
Any other water additives?
Filter type?
How often do you do water changes and what percentage?
Do you use a gravel vacuum? If so, how often?
What is the temp of the water?
Any live plants? If so what type?
Previous vet?
Any major medical history?
Adverse reactions to medication?
