Rabbit Check-In Form

Please only use this form if directed to by a member of Lone Mountain Animal Hospital’s staff as this form is used to authorize us to check-in your rabbit.

Rabbit's Owner's Information

Rabbit's Information

Rabbit Spayed or Neutered? (required)
YesNo

Background Information

Husbandry Information

Is the cage galvanized? (required)
YesNo

Nutrition Information

Does the rabbit regularly eat hay? (required)
YesNo

Does the rabbit regularly eat pellets? (required)
YesNo

Are any supplements/treats given to the rabbit? (required)
YesNo

Are there any other pets in the home? (required)
YesNo

Do the other pets interact with the rabbit? (required)
YesNo

Are the animals housed together? (required)
YesNo

Any new additions to the rabbit's household? (required)
YesNo

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