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Lynwood Animal Hospital

Phone: (613) 820-0443
30 Stafford Road Unit 107
Nepean, ON K2H 8W1

Call Us Today (613) 820-0443

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Hours:

Mon-Fri: 8:30am – 6:00pm
Sat & Sun: Closed
Closed for our weekly staff meeting Tuesdays between 1-2pm 

After-hours Call Animal Emergency at 613-745-0123
  • Home
  • About Us
    • Clyde E. Bird – In Memoriam
    • Our Team
    • Blog
  • Health Questionnaires
  • Services
    • Avian Medicine and Surgery
  • Appointments
  • Transport Tips
    • Tips For Taking Your Bird To The Vet
    • Tips For Taking Your Cat To The Vet
    • Tips For Taking Your Dog To The Vet
    • Tips For Taking Your Rabbit To The Vet
  • Links
  • Contact

  • We Welcome New Clients

    We invite you to contact us today to discuss your pet’s care. Please don’t hesitate to call us at (613) 820-0443.

  • Protect Your Pets

    Click here for helpful information about preventing parasites in your pets.
Lynwood Animal Hospital

Phone: (613) 820-0443
30 Stafford Road Unit 107
Nepean, ON K2H 8W1

Hours

Mon-Fri: 8:30am – 6:00pm
Sat & Sun: Closed
Closed for our weekly staff meeting Tuesdays between 1-2pm 

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Lynwood Animal Hospital

Appointments

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We will do our best to accommodate your busy schedule. Please schedule an appointment today!

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Rabbit Health Questionnaire Form

"*" indicates required fields

MM slash DD slash YYYY
Name*
Address*
(other than immediate family)

Patient

Sex
Is your rabbit vaccinated for RHDV?
If known, list vaccine and date(s) given
Vaccine
Date(s) Given
 
Do you have other pet(s) in the household?
If yes, list the number of pets and species*
Species
Number of Pets
 

Housing

Is your rabbit housed in a
Where does your rabbit urinate and defecate?

Is your rabbit exposed to:
Do you provide UVB lighting for your rabbit?
Does your rabbit go outside?
Does your rabbit dig, burrow or chew on things around the home?

Diet

Have there been any recent changes/additions to your rabbit’s diet?
Does your rabbit drink from a

Please list all food items your rabbit consumes, as well as quantities given:

Health & Fitness:

Does your rabbit allow you to perform any of the following grooming procedures: (check all that apply)
Has your rabbit had any previous health issues?
Is your rabbit currently on ANY supplement or medication (incl. glucosamine, digestive cookies, probiotics, etc)?
If yes, please indicate how often and amounts
Medication/Supplement
Frequency
Amounts
 
Have you noticed any changes in water consumption?
Have you noticed any of the following changes in eating habits: (check all that apply)
Have you noticed any of the following changes to their urine or fecal production: (check all that apply)
Have you noticed any of the following symptoms in your rabbit: (check all that apply)
This field is for validation purposes and should be left unchanged.
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  • Canine Health Questionnaire (Annual 2-6 years of age)
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  • Canine Health Questionnaire Form
  • Chinchilla Health Questionnaire Form
  • Feline Health Questionnaire (Annual 2-9 years of age)
  • Feline Health Questionnaire (Kitten <1 year of age)
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  • Thank You
  • Tips For Taking Your Bird To The Vet
  • Tips For Taking Your Cat To The Vet
  • Tips For Taking Your Dog To The Vet
  • Tips For Taking Your Rabbit To The Vet
  • Transport Tips
  • About Us
    • Clyde E. Bird – In Memoriam
  • Our Team
  • New Clients
    • Health Questionnaires
  • Veterinary Services
    • Avian Medicine and Surgery
  • Contact
  • Appointments