Skip to content
5131 Morning Sun Rd, Oxford, OH
(513) 523 3234
info@oxvet.com
Oxford Veterinary Hospital
Emergency
About us
Meet the Team
Services
Our hospital
Schedule appointment
General Practice & Surgery Appt
GP & Surgery – New Patient Form
GP & Surgery – Current Patient Appt Request
Internal Medicine – New Patient Form
Patient Resources
Library
Blog
Videos
Contact us
Internal Medicine Specialist
Internal Medicine – New Patient Form
Videos
For Veterinarians
Oxford Veterinary Hospital
Emergency
About us
Meet the Team
Services
Our hospital
Schedule appointment
General Practice & Surgery Appt
GP & Surgery – New Patient Form
GP & Surgery – Current Patient Appt Request
Internal Medicine – New Patient Form
Patient Resources
Library
Blog
Videos
Contact us
Internal Medicine Specialist
Internal Medicine – New Patient Form
Videos
For Veterinarians
Send Us a Message
Ferret History Form
Pet Name:
*
Species:
*
Ferret
Other
Sex:
*
Male
Female
Unknown
Birthdate or age:
*
Neuter status:
*
Intact
Neutered/spayed/Marshall ferret
Color:
*
Sable
Black sable
Black
Chocolate
Champagne
Cinnamon
Albino
Dark-Eyed White (DEW)
Other
If you clicked "other" color, what color?
Markings:
*
Standard
Mitt
Blaze
Panda
Roan
Silver
Point
Other
If you clicked "other" markings, what kind of markings?
Environment & Husbandry Details
Indoor only?
*
Yes
No
Do they go outdoors?
*
Yes (only with supervision)
No
Other
If you clicked "other" for outdoors, please give more detail:
Are there other ferrets/animals in the household (yes or no)? If yes, please describe.
*
Location of enclosure:
*
Indoor
Outdoor
Garage
Basement
How many hours per day does your ferret spend outside the enclosure?
*
Is there any possible exposure to toxins or chemicals (yes or no)? If yes, please describe:
*
Are there any recent stressors (such as boarding, move, new pet, etc)? If yes, please describe.
*
Enclosure Details
Enclosure type (please check all that apply):
*
Select All
Multi-level wire ferret cage
Single-level wire cage
Modified small animal cage (rabbit/guinea pig style)
Large dog crate
Plastic bottom wire-top cage
Glass aquarium
Plastic bin/tote enclosure
Custom-built enclosure
Free roam (no primary cage)
Outdoor hutch
Outdoor run/pen
Other
If you clicked "other" for enclosure type, please describe:
Enclosure characteristics (please check all that apply):
*
Select All
Solid flooring throughout
Wire flooring present
Multiple levels
Ramps/platforms
Hammocks
Enclosed sleeping box/hide
Exercise wheel
Enrichment toys present
Other
If you clicked "other" for enclosure characteristics, please describe:
Bedding type (please check all that apply):
*
Select All
Fleece liners
Towels/blankets
Paper-based pelleted bedding
Paper pulp bedding
Aspen shavings
Hemp bedding
Pine shavings (kiln-dried)
Pine shavings (non-kiln dried)
Cedar shavings
Corn cob bedding
Clay-based litter
Clumping cat litter
Other
If you clicked "other" for bedding type, please describe:
Litter type (please check all that apply):
*
Select All
Paper-based pelleted litter
Recycled paper litter
Clay-based litter
Clumping cat litter
Corn cob litter
Wood-based litter (please specify type below)
Other
If you clicked "other" or "wood-based litter", please describe further:
Is bedding or litter scented?
*
Yes
No
How often is bedding fully changed?
*
How often is litter fully changed?
*
How often is spot-cleaning performed?
*
Any recent changes to bedding or litter?
*
Yes
No
If "yes", please describe:
Any signs of respiratory irritation (sneezing, nasal discharge, coughing, etc)?
*
Yes
No
If "yes" please describe further:
Diet & Feeding
Appetite:
*
Normal
Increased
Decreased
Anorexic (not eating)
Diet type/brand:
*
Treats/brand:
*
Any recent diet change?
*
Yes
No
If yes, describe:
Water intake?
*
Normal
Increased
Decreased
Behavior
Energy level:
*
Normal
Mildly decreased
Lethargic
Weak episodes
Collapse episodes?
*
Yes
No
If yes, describe:
Any tremors or staring spells?
*
Yes
No
If "yes", describe:
Any recent behavioral changes?
*
Yes
No
If "yes", describe:
Skin & Coat
Is there hair loss? If yes, please describe below or write "no".
*
Any itching? If "yes" describe below, otherwise write "no".
*
Is there thin skin?
*
Yes
No
Female vulvar enlargement?
*
Yes
No
N/A - male
For males - are there any urinary signs such as straining, weak stream, etc? If yes, describe below, otherwise write "NO" or N/A.
*
Medical History/Current Symptoms
Previous veterinary visits:
*
Yes
No
If yes, when/where?
Any previous health issues?
*
Select All
Insulinoma
Adrenal disease
Lymphoma
Cardiomyopathy
None
Other
If you clicked "other", please describe below:
Last glucose check:
*
Weakness episodes relieved by eating?
*
Yes
No
Not applicable
Current medications or supplements:
*
Stool consistency (check all that apply):
*
Select All
Normal
Soft
Loose
Watery
Tarry
Mucus present
Other
If you clicked "other" please describe below:
Stool color:
*
Stool frequency:
*
Any vomiting? If yes, please describe below.
*
Any signs of nausea such as pawing at mouth, drooling, licking lips, etc? If yes, describe below.
*
Any weight loss noted? If yes, describe below.
*
Do you suspect abdominal pain? If yes, describe below.
*
Urination:
*
Normal
Straining
Frequent
Inappropriate
Other
Urine color:
*
Is there any blood in the urine? If yes, describe below:
*
Additional information
Do you have any questions/concerns/notes about your ferret's health or care?
CAPTCHA