 303-680-5050 ... lovingfamilyanimalhospital@gmail.com ...

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rabbit/rodent lifestyle Assessment

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Rabbit/Rodent Lifestyle Assessment

Please fill out the form as completely and as accurately as possible, thank you.

Name *

First

Last

Email *

Pet's Age

Adult
Juvenile
Baby
Unknown

Pet's Sex

Male
Female
Unknown

Neutered?

Yes
No

Cagemates? (Exposure to other pets)

Cage Dimensions

Cage construction/materials (circle all that apply):

Glass(aquarium)
Wood(treated)
Glass(view window)
Wood(untreated)
Plastic
Concrete
Sheet Metal
Particle Board
Chain Link Fence(yard enclosure)
Cinder Block
Brick
Fiberglass
Metal window screen
Plastic window screen
Other

Cage furniture

Hide box
PVC Pipe
Cork bark
Branch
Wood
Water bowl
Plastic bottom/wire
Litter box
Other

How often is cage cleaned?

How often is cage disinfected?

Disinfectants used?

Temperature of Cage Area?

Any time outdoors?

Diet: List all food items offered and their approximate percentage of total diet

Frequency of feeding:

How is food stored?

Diet Supplements if any:

Last parasite exam:

Results:

Any past illnesses?

Any past vaccines?

Ready to see us?

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At Loving Family Animal Hospital, we treat your pets with compassion and build lasting relationships with our clients. Easily request an appointment for your pet online and keep up with your pet’s health by downloading our app!

Book Appointment Download App

Have a question?

Feel free to contact us! Complete our online form, and a member of our team will be in touch shortly.

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Address

14605 E. Arapahoe Rd. Unit H.
Aurora, CO 80016

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Contact Info

E: lovingfamilyanimalhospital@gmail.com
P: 303-680-5050
F: 303-680-5550

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Hours

M, W, F: 8 am – 6 pm
Tues, Thurs: 8 am – 6 pm
Sat: 9 am – 1 pm
Sun: Closed

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Last

Email *

Phone

How can we help you? *

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