Please enter your email address twice to ensure that we have the correct address

Email address:

Confirm email address:

First Name:

Last Name Name:

Country:

State or county

Many people are referred to this service by their Birdcare Company retailer. If this is the case for you please tell us the name of the retailer:

If you would like us to copy your retailer on our reply please say so here. We find this helps the retailers to help you and is also part of our retailer training programme:

If you know their e-mail address that would be even better!

Section 1 - Bird Background

1. Species: 

2. How many birds are ill?

3. Is this your only bird?    Yes (goto question 8.)       No

4. Number of birds in collection.

5. Is your bird a pet, a breeding bird or part of a collection ?

6. Is your bird kept with other species?

No
Yes (please give details)
 

7. Have you recently obtained any new birds?  Please gives species and dates if relevant.

8. How is the bird usually housed?

Inside
Outside

9. Please describe the housing (cage/aviary size, what it is made from, any plants that are nearby etc...)
 

Section 2 - More information about the sick bird

1. Name of bird/s if relevant.
 

2. Age of bird/s if known.
 

3. Sex of bird/s if known
 

4. What is eaten by the bird/s?  (not just what is fed)

 Seed
 Pellets - Brand name 
 Fruit
 Vegetables
 Pulses (peas + beans)
 Egg-food - Brand name 
 Live-food - please give details

Anything else:
 

Section 3 - Supplements

1. Do you give your bird dietary supplements?

No (skip to section 4)
Yes

2. Which supplements do you use?  Please give as much information as you can.

Vitamins
Brand Name:
On food
In water
Frequency 

Minerals
Brand Name:
On food
In water
Frequency

Calcium
Brand Name:
On food
In water
Frequency

Probiotic
Brand Name:
On food
In water
Frequency

Protein
Brand Name:
On food
In water
Frequency

Emergency Nutrition
Brand Name:
On food
In water
Frequency

Other Supplements (please give as much information as possible)
Brand Name:
On food
In water
Frequency

Section 4 - Symptoms shown by sick bird/s.

4.1 Appearance

Fluffed up
Head under wing
Droopy wings
Lack of balance
Dull eyes
Sleeps more than usual
Discharge from eyes

Feather condition
Good
Dull
Ragged
Brittle
Plucked
Chewed
Discoloured (please give details)

Obvious or suspected injuries
 

4.2 Digestive system and Droppings
Is the bird eating:
More than usual
Less than usual
No change.

Is the bird drinking:
More than usual
Less than usual
No change.

Is your bird showing any of the following symptoms?
Vomiting
Diarrhoea (runny dark component of droppings)
Blood in droppings
Lots of urine (clear or yellow liquid)
Passing whole seed
Droppings dry or infrequent

Other digestive system and droppings problems (please provide as much detail as possible)
 

4.3 Respiratory system
Please identify any of these symptoms:

Coughing
Rattling Breath
Nasal discharge
Sneezing
Tail bobbing
Wheezing
Gaping

Any other symptoms (please describe)

Section 5 - Previous Medical History

1. Please list any previous illnesses and treatments, also please say if a treatment was successful or not in each case.
 

2. Are there any treatments in use at the moment? Yes / No
  If so, please give details:
 

3. Has the bird had any preventative treatment in the last 6 months?
Yes / No.  If yes, please give details below.

Wormer
Brand
Administered by water, food, crop tube.

Other
Brand
Administered by water, food, crop tube.

Section 6 - Behaviour

Has your birds behaviour changed in any of the following ways?  Tick all that apply.

Aggression
Easier to handle
Feather plucking or chewing
Eating own droppings
Excessive noise
Nervousness or fear
Self mutilation
Chewing cage
Excessive preening
Sleeps more than usual

Copy and paste these questions into an e-mail and send then to mailto:Birdvetonline@BirdcareCo.com