Reptile History Form Pet’s Name* Your Name* First Last Type of Reptile (be as specific as you can be):*Is this your first reptile? If no what other reptiles have you had*Do you have any other reptiles living together with this one?*Do you have any other pets? If Yes please write species and number you have:*Has your reptile ever been to the vet? If yes, what was he/she being seen for?*I acknowledge that my pet is: NOT AGGRESSIVE to my knowledge AGGRESSIVE & WILL BITE What kind of habitat does your reptile live in? (tank,etc)*What kind of substrate do you have in your reptile’s habitat?*How often do you replace substrate?*What type of heating element do you have for your reptile?*What is the temperature set at?*What about the humidity?*What type(s) of food do you feed your reptile?*How often do you feed your reptile?*What do you offer your reptile’s water in?*Is it deep enough for your reptile to submerse in?*How often do you change your reptile’s water?*Any other special care instructions you’d like the doctor to know?*NameThis field is for validation purposes and should be left unchanged.