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

New Patient Form - Exotic Companion Mammals

If your pet is an exotic companion mammal and a new patient at Carolina Veterinary Specialists in Huntersville, please fill out our New Exotic Companion Mammal 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 Patient Form - Exotic Companion Mammals

Please provide us with the following information. 

 Important:  If you are a new client to Carolina Veterinary Specialists, please also complete a new client registration form

About Your Exotic Companion Mammal

Enclosure

Diet and Supplements

Environment and Enrichment

Behavior and Personality

Medical History

Reason for Visit

Other

Upload Files or Images

You can upload document and image files here, including previous medical records, notes, radiographs (X-rays) and ultrasound images, and photos of your pet or its enclosure or food.

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