Avian Wellness Exam

This form is designed to help our team gather important information about your pet's current status for your upcoming visit to our Fear Free clinic!

Your bird's name:*
Your name:*
Where did you get your bird from?*
When did you get your bird?*
Was your bird pellet fed as a baby?*
- Yes
- No
- Unsure
How big is your bird's cage?
Where is the cage located within your home?*
Are there air ducts/vents in the room where your bird lives? If yes, please describe the situation.
Are there any drafts around your bird's cage (i.e. open and closing doors, windows, etc.)
How often do you clean your bird's cage?
What is the average temperature in the room your bird is located?*
Any change in grooming or sleeping habits? If so, please describe.*
Any change in food/water consumption? If so, please describe.*
Please upload photos of your bird's diet, as well as any supplements you give him/her.
Drop files here or

Max. file size: 300 MB.
Please list any questions/problems/concerns for Dr. Jinni that you would like addressed: