Online Forms

group of birds


Avian and Exotic Pet Clinic of Roanoke offers patient forms online so you can complete them in the convenience of your own home or office.

To serve you best, it is critical that we have as much background information about your pet as possible. We have placed our forms here on the website so you can download them, fill them out at your leisure, and bring them with you when you come. This will help us serve you more efficiently.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring completed form with you to your appointment.
  • To Email or fax your completed forms please call Avian and Exotic Pet Clinic at 540-989-4464 and a team member will be happy to provide you the appropriate email address or fax number; once you have a scheduled appointment.  If you are not a client or prospective client and are a solicitor please do not call for or use our email address for solicitation. Thank you for your understanding.

 

New Client Forms
Email, fax, or bring in person

First we need information about you and pets that you have in your home. Please download our client information forms. 

New Client Registration Form  (PDF)

Hour Disclosure Form  (PDF)

Now click on the link below to download the appropriate file about your specific pet. Please bring both of these with you when you come to your first appointment.

Thanks!!

Small Mammals (PDF)
Reptiles (PDF)
Birds (PDF)


Hospital Administration & Surgical Forms


Authorization for Anesthesia Medical and/or Surgical Treatment and Hospitalization (PDF)



Existing Client Forms

Email, Fax, or Bring in Person

Now click on the link below to download the appropriate file about your specific pet. Please bring both of these with you when you come to your first appointment.

Thanks!!

Small Mammals (PDF)
Reptiles (PDF)
Birds (PDF)

If you are an existing client and would like to add a new pet to your account, please take a moment to fill out our Additional Pet Form along with the appropriate background sheet about your specific pet. Once completed you can email, fax or bring along with you to your pet’s appointment. Thanks!

New Additional Pet Forms (PDF)

Ever forget your pet's medication and vaccine schedule? There is a website that will help you. Simply register basic information about you and your pet (it takes about a minute), and you will automatically be sent an email or text message whenever it's time to give your pet's medication. The site will even alert you when your supply is about to run out. Click here for more information.



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