Name: Campus Estates Animal Hospital
Address: 1460 Gordon Street South, Guelph, ON, N1L 1C8, CA
Telephone: 519-837-1212

Guinea Pig History Form

Client Details
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Email Address
Guinea Pig Details
Name
Age (date of birth)
Sex
Is your guinea pig spayed or neutered?
Date acquired
Source (pet shop, friend, breeder, etc)
Details of Other Pets
Do you have any other guinea pigs? If yes, please provide details (name, date acquired, source, any known illness)
Do you have any other pets? If yes, please provide details (species, date acquired, source, any known illness)
Husbandry
Is your guinea pig kept in a cage indoors? If yes, please provide approximate dimensions
Please describe the bedding and litter used in the cage
Where does your guinea pig urinate and defecate?
Has your guinea pig damaged any household items? If yes, please provide details (item, how and when it was damaged)
Food
Please describe your guinea pig’s diet (Include pellets, any table food, treats etc.)
Has there been a recent change in diet? If yes, please specify
Are any of the following given to your guinea pig?
- Vitamins
- Minerals
- Medicines
- Probiotics
- Tonics
Water
Does your guinea pig drink from a bowl or a sipper-bottle?
Have there been any changes in drinking habits for your guinea pig?
Has the drinking increased or decreased as of late? If yes, when did you notice?
The Presenting Health Concern
Has your guinea pig had any previous health issues? If yes, please provide details
Please describe your guinea pig’s clinical symptoms
Does the skin and fur appear normal?
Has there been any excessive scratching?
Has there been any nasal or ocular discharge? If yes, please provide details
Has there been any odd positioning or loss of use of any limbs? If yes, please specify
Has there been any abnormal vocalization?
Are your guinea pig’s droppings normal in appearance and size? If not, please provide details
Any additional comments

For appointments please call 519-837-1212 Make an Appointment

Guinea Pig History Form

Client Details

Guinea Pig Details

Details of Other Pets

Husbandry

Food

Water

The Presenting Health Concern

About Us

Regular Clinic Hours

Location

Directions