6350 Frederick Road
Catonsville, MD 21228
Office: 410-744-4224 Fax: 410-744-3691
Welcome form for Rabbits
Patient Name: _______________________________
Date:____________________
Client Name: ___________________________
How many rabbits do you have?_______________
When was the last time they were seen by a vet? (Please list last vet seen if known so we may
obtain medical records for better continuity of care) _______________________________
Where was your rabbit purchased?_________________________________
Does your rabbit have any cagemates/housemates?__________________
Is your rabbit kept in a cage or does it have free range of a room/house?___________________
What Kind of bedding/substrate is in the bottom of your rabbits cage?_____________________
How often is the cage cleaned?__________________________
What room of the house is your pet kept?____________________________
Does your pet go outside? How often?_____________________________
Please list any previous or current medical conditions:
Condition
Date Diagnosed
Please list any/all medications and supplements he/she is currently receiving:
Medication
Amount/Frequency
Please list any/all foods your pet is being fed, please be as specific as possible, including brands
Food
Amount/Frequency