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PRH Help Us Help You
Name
*
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Phone
Email Address
*
Have you or any members of your family been out of the country within the past year? If so, where?
How many animals do you have in your family?
*
What kinds of animals do you have?
*
Any history of domestic violence to or around the bird?
What are your issues and concerns?
*
Bird Information
What is your bird’s name & species?
*
How long have you had your bird?
What are your bird’s issues and concerns, if you were to hazard a guess?
*
Has the bird ever been to the vet?
Yes
No
If so, when?
Veterinarian’s Name, Location
Sex of bird if known
Age
Flighted or Clipped
Flighted
Clipped
Pellet or seed or both?
Pellet
Seed
Both
Will the bird step up on request?
Is the bird stick or towel trained?
Do you let him/her out of the cage?
How often?
How long?
Do you get him/her in and out of the cage by stick or hand or let them do it themselves?
Is he/she noisy?
Is he/she more noisy at any particular point of the day?
How do you stop him/her from being noisy?
How many toys can they chew, bite, or preen in their cage right now?
How many perches are in their cage right now?
What size cage do they have right now?
Is the bird in their own room/livingroom/kid’s room/outside?
Does he/she bite?
What types of things seem to trigger the biting?
Does he/she give any warning signs before he/she bites?
Problems with hands?
Is He/she afraid of anything (noises, colors, vacuum, animals, etc)?
Does he/she have a bedtime?
Do you cover the cage at night?
Has the bird ever lived in the same cage as another bird?
Are you the birds’ first owner?
If not, please give a known background
Prefers which sex?
Please give any additional information you wish to share such as past injuries the bird suffered, sicknesses, losses for the bird, training, intervention by anyone else, bird on bird attacks or quarrels, other species relationships:
Do you wish to keep your bird?
*
Are you willing to make changes to accomodate your bird?
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