Patient Information


Medical History

Has your pet been to a vet before?(Required)
Please provide city & state
Do you give us permission to call for records at this clinic?

Husbandry / Care

Please bring a picture of your pet's enclosure to your appointment
Is your pet housed alone or with other animals?
Do you handle your pet?
Does your per live indoors or outdoors?
For animal's housed outdoors, does your pet stay outside all year?
(You are welcome to bring a picture or drawing to your appointment if that is easier)


What type of lighting does the enclosure have (UV, heat, infrared, other)?

Does your pet have access to a UV bulb?
How often is the UV bulb changed (as needed, yearly, every 6 months)?

Heating / Humidity

What type of heater is used (heat pad, heat bulb, heated rock)?

Are the heating devices attached to a thermostat?

How is humidity maintained? (fogger, spray bottle, humid hide, etc)


What substrate is used (Glass bottom, Gravel, Soil, Stones, etc)?

Does your pet have access to a moist/humid hide area?
Is there a special area for egg laying in your pet’s enclosure?


Do you gut-load insects?
Do you feed live or frozen-thawed prey?

Water Quality

Do you perform complete/partial water changes?
What type of water do you use (tap, bottled, RO, distilled)?