Forms & Questionnaires
Small Mammal Dental Charts
Avian History Forms
- History Form 1—Provided by Dr. Jörg Mayer.
- History Form 2—Provided by Dr. Tom Tully of Louisiana State University.
- History Form 3
- History Form 4
- History Form 5—Provided by Dr. Tom Tully of Louisiana State University.
- Drop-Off Appointment Form—Although in many instances a complete history form should be used for a drop-off appointment, this Drop-Off Appointment Form may also prove useful.
You can also order Client History Forms from the Association of Avian Veterinarians. Go to the brochures section and then select “Publications order form”.
Avian Physical Examination Forms
- Exam Form 1
- Exam Form 2—Provided by Dr. Tom Tully of Louisiana State University.
- Exam Form 3
You can also order a Certificate of Veterinary Exam from the Association of Avian Veterinarians. Go to the brochures section and then select “Publications order form”. The certificate is a two-copy form, one copy for your records and a second copy for clients.
Specialty Examination Forms
- Ophthalmic Exam Form 1
- Ophthalmic Exam Form 2—Provided by Dr. Patrick Redig and Dr. Julia Ponder of The Raptor Center.
- Neurologic Exam Form 1—Provided by Dr. Tracy Clippinger of the San Diego Zoo.
- Neurologic Exam Form 2
Behavioral History Forms
- Behavioral History Form 1—Provided by Dr. Lynne Seibert, a board-certified veterinary behaviorist.
- Behavioral History Form 2—Provided by behaviorist, Pamela Clark.
“I have used this behavior consult information form for 10 years, perfecting it along the way. I find it invaluable for a variety of reasons:
- “If it is too much trouble for a client to complete this form in detail, they are unlikely to be motivated enough to implement the many changes I am going to recommend. It is best to address that in the beginning and query the client as to what their goals really are.
- “The physical manner in which a client completes the form tells me a lot about them and their educational level. This allows me to tailor my recommendations and delivery
- “The manner in which clients respond to questions tells me a lot about their relationship with their parrot.
- “The questionnaire addresses the same issues in slightly different ways with different questions. This provides for some interesting revelations from owners.
- “And, finally…the form allows me to generate a well-organized, logical set of recommendations for the owner.”
- Behavioral History Form 3—Provided by Liz Wilson, RVT.
- Behavioral History Form 4
- Behavioral History Form 5—Provided by Dr. Heather Wilson-Barron and Dr. Stephen Hernandez-Divers of the University of Georgia.
- Behavioral History Form 6—Provided by Dr. Heather Wilson-Barron and Dr. Stephen Hernandez-Divers for use in patients with behavioral problems.
Feather picking Questionnaire
(Many of the behavioral history forms listed above also serve as excellent feather picker surveys.)
Avian Necropsy Forms
- Necropsy Form 1
- Necropsy Form 2
- Necropsy Form by Tufts University is available at:
www.tufts.edu/vet/seanet/doc/avian_necropsy_form.doc - Necropsy Form by the University of Wisconsin-Madison’s Research Animal Resources Center is available at:
www.rarc.wisc.edu/forms/index.html - Egg Necropsy Form—A description of egg necropsy may be found at: wildlife1.wildlifeinformation.org/S/00Man/VeterinaryTechniques/necropsy_birds.htm#Egg
Miscellaneous Forms
- Anesthesia Record by the University of Wisconsin-Madison’s Research Animal Resources Center is available at:
www.rarc.wisc.edu/forms/index.html - Anesthesia/Surgery Log by the University of Wisconsin-Madison’s Research Animal Resources Center is available at:
www.rarc.wisc.edu/forms/index.html - Post Anesthetic Monitoring Form by the University of Wisconsin-Madison’s Research Animal Resources Center is available at:
www.rarc.wisc.edu/forms/index.html - Prescription Log
- Problem List
- Surgical Record
- Surgery Report by the University of Wisconsin-Madison’s Research Animal Resources Center is available at:
www.rarc.wisc.edu/forms/index.html - Treatment Progress Report by the University of Wisconsin-Madison’s Research Animal Resources Center is available at:
www.rarc.wisc.edu/forms/index.html
