Mammal History

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Share Important Details About Your Small Mammal

Please complete our Mammal History Form before your pet’s visit. This form helps Twin Cities Veterinary Clinic learn more about your small mammal’s diet, housing, behavior, and current health concerns.

Whether your pet is a rabbit, guinea pig, ferret, rodent, or another small mammal, this information helps our veterinary team provide thoughtful, species-specific care.

If your pet is not eating, seems weak, or needs urgent care, please call us directly at (907) 262-4581.

Submit Your Mammal History Form

Complete the form below before your appointment so our team can better support your pet’s care.

Owner Information

Name *

First

Last

Email *

Phone Number *

Pet Information

Name or Identification *

Common or Scientific Species Name *

Date of Birth

Sex *

How long have you had this animal? *

From where did you obtain this animal? *

Is your animal vaccinated? *

If a primate, has your animal been tuberculosis (TB) tested? *

If applicable, do you have a license (DNR/USDA) to own this animal? *

Do you have any other pets in the household? *

Has your pet had contact with any other animals in the last 30 days? Please explain: *

Cage Environment

Where is the cage located? *

What percentage of time does your animal spend in the cage? *

Is your animal supervised when out of the cage? *

What is the cage made of? *

What are the dimensions of the cage? *

Have there been any changes in the environment in the last 3 months? *

What décor and furnishings are present? *

Is there ventilation (grills or mesh)? *

What bedding do you use? Please give details. *

Is your animal litter trained? *

Do you provide any bathing facilities? *

What is your animal's day and night cycle? *

Are there any smokers in the house? *

Do you use aerosolized substances? *

How often is the cage cleaned? *

What cleaning/disinfectant agents are used? *

Diet

How often do you feed your animal? *

Indicate which foods are eaten and in what amounts (by weight or approximate volume).

Pellets *

Hay *

Vegetables *

Fruits *

Treats *

Meat or Meat Products *

Other *

Do you use any nutritional supplements? *

What water supply do you provide? *

How is water provided? *

How often is the water changed? *

Do you use any water supplements? *

Have you noticed any changes in feeding or drinking behavior? Please give details. *

Have you noticed any changes in droppings? Please give details. *

Reason for Presentation Today

What is the primary complaint, or what signs have you noticed? *

Has this animal had previous health problems? Please give details. *

Have any other animals or people in the household had any illness within the last 30 days? *

complaint, any drinking

Has your animal received any medications in the last 3 months (e.g., heartworm medication, dewormer, or flea treatments)? *

Clinic Policies

Twin Cities Veterinary Clinic

Appointment Policies

We require 24 hours’ notice for appointment changes. Our schedule is often full, so timely cancellations help us care for sick and injured pets. Missed, late, or last-minute cancellations may be charged a no-show fee. Late arrivals may need to reschedule. Any fees must be paid before future services.

Same-Day / Work-In / Emergency Visits

Same-day, work-in/walk-in, and emergency appointments may include additional fees and longer wait times. We are not a walk-in clinic and operate primarily by appointment.

Check-In & Arrival

New patients and those needing health certificates should check in 15-30 minutes early and provide prior medical records in advance. Dogs must be leashed; cats and small pets should be in carriers. Pets and children under 12 must be supervised at all times.

Sick Policy

If you have respiratory or flu-like symptoms, or recent COVID-19 exposure, please notify us before your appointment. We may ask you to wait in your vehicle while we bring your pet inside. Masks are available on request, and staff can mask upon request.

Payment Policy

Payment is due at the time of service. We accept major credit cards, CareCredit, and cash. We do not offer payment plans. Please discuss financial limits with the veterinarian before treatment. More information is available on our Financial Assistance page on our website at twincitiesvet.com.

Prescription Refills

Please allow 24—48 hours for refill processing. You will be notified when medications are ready. Pets must be current on their annual exam for prescription authorization. We do not work directly with online pharmacies, but written prescriptions are available. Medications can be mailed for an additional fee.

Vaccinations

Patients must be up to date on required vaccines. Rabies vaccination is required by Alaska law. If you have concerns, speak with a veterinarian; medical exceptions may be discussed.

Zero-Tolerance Abuse Policy

We reserve the right to refuse service. Harassment, threats, abusive language, aggressive behavior, or actions that disrupt our staff, clients, or patients will not be tolerated. Clients may be asked to leave immediately, and law enforcement may be contacted if necessary.

Privacy Policy

We do not share personal information with third parties. Client and patient information is kept strictly confidential and is only released with the owner's consent.

Policy Agreement *

I agree to the above policies.

Signature *

Clear Signature

Printed Name *

Date *

Mammal History

Share Important Details About Your Small Mammal

Submit Your Mammal History Form

Owner Information

Pet Information

Cage Environment

Diet

Reason for Presentation Today

Clinic Policies

Schedule Your Pet’s Visit Today

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Location

Contact Information

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