Bird History Form

- Step 1 of 6

Client Name *

First Line of Address *

Telephone Number *

Pet Name *

Species *

Age *

Sex *

Male
Female
Unknown

Has this been confirmed by DNA? *

If your pet is female, has she produced eggs or given birth?

How did you acquire your pet? *

Store
Breeder
Other

Please give details *

Have they been hand reared? *

How long have you had your pet? *

Is your pet a large Macaw, Cockatoo, Amazon Parrot, African Grey born or bought after February 2017 or intended for breeding *

Do you have the required CITES paperwork? *

Are there any other pets in the same enclosure with this pet? *

Do you have any other pets? What exposure do they get to your bird?

What weight is your pet? *

Is your pet microchipped? *

Is your pet ringed? *

Housing

General

Do you keep your bird in an aviary or a cage? *

Aviary
Cage

How many birds are kept in the aviary? Are they all the same species? *

How many birds are kept in the cage? Are they all the same species? *

What are the dimensions of the aviary? *

What are the dimensions of the cage? *

Where is it positioned in relation to other activities (i.e. other aviaries, bonfires, BBQs) *

Where is it positioned in the house? *

Are there areas to shade from sunlight? *

What is it made of (please be as specific as possible [single/double mesh, type of metal])? *

What is it made of (please be as specific as possible [type of metal])? *

What roofing does it have? *

What substrate is used in the enclosure? *

What substrate is used in the enclosure, if any? *

How deep is it? *

How many nest/hide boxes are provided? *

Are any nest/hide boxes provided? If so, how many? *

What bedding is used? *

How many perches are provided? What are they made of? Roughly what diameter are they (all the same / different sizes?) *

What toys and activities are provided? How often do you change these? *

Is your bird allowed to fly loose? If so how often? *

Is there an opportunity for your bird to bathe? If so do how often do they bathe? Do they enjoy it? *

Are there areas to shade from sunlight? *

Are the doors shut to sunlight for any time? If so how long? *

Is there a UVB or full spectrum light source? *

How many hours/day? *

When was it last changed? *

Is your bird ever taken outside? *

Does anyone in the house smoke or vape? Is this near your bird? *

How often is the enclosure cleaned, and with what products? *

Please upload a photograph of the enclosure

Click or drag a file to this area to upload.

Please upload individual files with the following extensions: .png, .jpg, .jpeg, .doc, .docx, .pdf

Daily Routine

How many hours of daylight is your bird exposed to? *

How many hours a day is your bird left alone for? *

Do you provide any distractions for your bird when left alone? i.e. radio, TV? What programmes? *

Is your bird allowed a quiet area in order to sleep away from others, TVs etc? For how may hours a day? *

Can you describe your bird‘s daily routine? *

Diet - What Does Your Bird Eat?

Bringing a sample to your consult wou,ld be useful

What is the basis of your bird‘s diet? (pellet, seed etc. Mix present within) *

What does your bird actually eat? (everything provided, only certain seeds etc) *

Do they eat at any particular time of the day? Any time of the day they do not eat? *

Do you provide any fresh fruits/vegetables/plants? (how often) *

How do you offer/present the food – main diet, fruit, treats? *

How often is it replaced? *

How do you store your feed? *

Do you provide any foraging opportunities for your bird? *

Do you give any supplements / vitamins to your bird and how often do you give them? *

Does your bird get treats, and what kind? *

How is water offered (bowl, dropper, etc)? *

How long does it take for them to eat their food? *

Training

Is your bird used to being handled? *

Does your bird 'step up'? *

Is your bird bonded to you, or anyone else in the household? *

How does your bird respond to new things – toys, people, food items? *

Does your bird do any tricks? *

Does your bird sit on you? If so, where? *

Does your bird sing or talk? *

Where do you stroke your bird / where does it like? *

Do you have any behavioural concerns about your bird? *

Medical History

Do you routinely give your bird any medication? If so what and how often? *

Does your bird have any previous/underlying medical conditions that you know of? *

Has your bird every had any viral or chlamdial (psittacosis testing done)? *

Has your bird ever lived with another bird? *

Has your bird ever gone on holiday and lived with another bird? *

Has your bird ever feather plucked? *

Feather Plucking

How long has your bird been plucking for? *

What month did it start? *

Has the bird plucked before? Is it seasonal? *

Is there a certain time of day when they pluck? *

Do they pluck when you are present / absent or both? *

Do you see them plucking? *

Do they make a noise when they pluck? Before or after? *

How do you respond when you see them plucking? *

Do they otherwise rub or scratch themselves on their cage? *

Do they interrupt their favourite activity to pluck? *

What do you believe the current problem is? Signs, duration, no of animals affected *