Surrender Form_Scaled and Reptiles

Phone

Email

What brings you to NOCO Humane to surrender your reptile?

Animal name:

Breed:

Age:

How did you acquire your reptile?

How long have you owned?

Who is your veterinarian?

What housing does your reptile have? (ex.: 40 gallon tank, personal room in home, etc.)

What lighting does your reptile need? (ex.: UV, heat lamp, night light, etc.)

Is your reptile taking any supplements?

Any known medical issues, dietary restrictions, or prescriptions?

Does your animal require any special care? (ex.: only drinks water off plants, picky eating, etc.)

Is your bird on a specific diet? And when/how often do they eat?

When did your reptile last eat?

Does your animal display any behaviors worth noting?

If you answered Yes to the question above, please describe the situation and how it happened:

To the above question, who or what type of people have these behaviors occurred with? (ie. Children, men, women, strangers, veterinarians, owner, one person in particular, etc.)

If yes to the question above, were there injuries from this altercation?

If applicable, did the injured animal require medical treatment? What degree of damage was done? (ie. stitches, amputation, etc.)

If applicable, how did you stop the altercation and how easily was the altercation stopped?

Is there anything else you would like to share about your reptile?

Can we call you with follow up questions if needed?

Rehoming Your Reptile

Rehoming Your Reptile

Rehoming Your Reptile