12117 Statesville Rd, Huntersville, NC 28078 US
   704-949-1100

New Patient Form - Birds

If your bird is a new avian patient at Carolina Veterinary Specialists in Huntersville, please fill out our New Avian Patient form using one of the options below.

OPTION 1
Fill Out Online

Complete the online form below and submit.

OPTION 2
Print & Complete

Once completed, bring the form with you.

Download Form

OPTION 3
Complete in Office

If you prefer, you can fill out the form when you arrive at our hospital.

New Avian Patient Form

Please provide us with the following information. 

Important: If your pet is an avian or exotic patient, please also download and complete the appropriate questionnaire

About Your Pet

Enclosure (Cage)

Enclosure Contents

Diet

Environment

Medical History

Behavior

Current Concerns

Other

Upload Files or Images

Please attach any previous medical records and files, or images of cage, home, food, droppings, pet, etc.

Caring for Pets in Huntersville

At Carolina Veterinary Specialists, we accept new clients to our specialty services by referral. Our 24/7 emergency service accepts all clients.

Contact Us

704-949-1100