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Iguana 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
Iguana Details
Name
Age (date of birth)
Sex
Date acquired
Source (pet shop, friend, breeder, etc)
Details of Other Pets
Do you have any other iguanas? 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
Does your iguana have access to the entire house? (If he/she is confined to one room, please provide details)
Is your iguana kept in a cage indoors? If yes, please provide approximate dimensions
Please describe the bedding and litter used in the cage
Humidity of Enclosure
Daytime Temperature of Enclosure
Basking Temperature of Enclosure
Night Temperature of Enclosure
What light sources are used? When were lights last changed?
Has your iguana damaged any household items? If yes, please provide details (item, how and when it was damaged)
Food
Please describe your iguana's diet (Include pellets, all snacks, treats and any food related items)
Has there been a recent change in diet? If yes, please specify
Are any of the following given to your iguana?
- Vitamins
- Minerals
- Medicines
- Probiotics
- Tonics
Specify selections above (Vitamins, Minerals etc.)
The Presenting Health Concern
Has your iguana had any previous health issues? If yes, please provide details
Please describe your iguana’s clinical symptoms
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
Any additional comments

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

About Us

We are committed to providing the highest quality of medicine within a warm and compassionate family atmosphere. We cater to the needs of our patients with a gentle hand. Learn More

Regular Clinic Hours

Monday: 8:00am - 7:00pm Tuesday: 8:00am - 7:00pm Wednesday: 8:00am - 7:00pm Thursday: 8:00am - 7:00pm Friday: 8:00am - 6:00pm Saturday: 9:00am - 4:00pm Sunday: 9:00am - 4:00pm

Location

Campus Estates Animal Hospital 1460 Gordon Street South Guelph, ON N1L 1C8 Phone: 519-837-1212 After Hours Emergency: 519-837-1214 Fax: 519-837-0209 Email: ceah@petsandvets.ca

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Iguana History Form

Client Details

Iguana Details

Details of Other Pets

Husbandry

Food

The Presenting Health Concern

About Us

Regular Clinic Hours

Location

Directions