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 reptile.

    Owner's Information

    Pet's Information

    Where was the pet acquired? (required)
    BreederPet StoreOther

    Was the reptile caught in the wild or bred in captivity? (required)
    Caught in the wildBred in captivity

    Was the reptile deparasitized? (required)
    YesNo

    How often is the animal handled? (required)
    DailyOccasionallyNever

    Is the animal ever taken outside? (required)
    YesNo

    Is there any trouble shedding? (required)
    YesNo

    Reptile Husbandry

    Cage Environment

    Nutrition Information

    Any non-reptile pets in the home? (required)
    YesNo

    Any there any additional reptiles in the home? (required)
    YesNo

    Are the reptiles housed together or not? (required)
    YesNo

    Any new additions to the reptile population? (required)
    YesNo

    Medical Information

    Has the reptile visited a veterinarian before? (required)
    YesNo

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    About

    Lone Mountain Animal Hospital to provide quality veterinary care with personal touch embrace compassionate progressive approach to needs of our patients.

    Business Hours:
    Monday – Friday: 7AM – 6PM
    Saturday: 7AM – 5PM
    Sunday: 8AM – 4PM
    Contact Us:

    Phone: 702-645-3116
    Fax: 702-645-2758
    6688 W. Cheyenne Ave. Las Vegas, NV 89108

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