If you don't know the answer to a question on this form simply write "unknown" as your answer. Phone Number Email * Pet's Name (if applicable) What Species Are You Bringing For An Exam? * Has your pet been seen at another veterinary clinic? * Main Concern/Problem for this pet * Have you tried any at home treatments/remedies or medications on your pet already to address the problem they have? If so what and for how long? * Any difference noted with what you did? * Are there other affected individuals in your collection showing the same signs/symptoms or have different abnormal symptoms as the pet you're bringing today (please describe and include species affected if different then your pet coming for an exam)? * How long have you owned this aquatic pet? * Size when purchased (approximate)? * Current length (approximate)? * What other fish (approximate size/weight is very useful to include), invertebrates, plants, birds/mammals (if applicable) etc are intentionally kept in the same pond with the aquatic pet you brought for an exam? What do you feed your pet? * How often do you feed your pet? * Is your pet currently eating? * When is the last time they ate and what did they eat or show interest in? * Pond Dimensions (width/length/depth) and Size (gallons) * How often do you do routine water changes in your pond? * How many gallons of water do you replace at each water change? * How often do you check your pond water parameters (pH, salinity, kH, Nitrate, Nitrite, Ammonia)? * What water source do you use for your water changes (ex. Tap water, well water, RO water, etc)? * Do you treat your water with a product to remove chlorine/chloramine prior to adding it to your pond? * After treating your water how long do you wait to use it in your pond? * Dissolved Oxygen In Pond (please include units of measurement- i.e. ppm, mg/L) * Salinity (write N/A if not applicable): * pH * kH * Nitrite * Nitrate * Ammonia * Pond Temperature * Do you add chemicals or pond products (ex. Buffer) to the pond routinely? * How often (if applicable) are these additives monitored with a test kit to determine levels before/after adding? * Pond substrate? Live Plants? Do you quarantine your fish or other additions to your pond prior to adding them? If so, how and for what length of time? * How long do you quarantine stock (fish, invertebrates, plants, etc) before adding them to your pond? * Approximate date of last new addition of anything (fish, invertebrates, plants etc) to your pond? What was it? * Do you use any of the following with your pond? * Do you use anything in your pond to create water movement/flow and break the water surface tension (ex. Water falls, power heads, etc)? How many hours a day do these features operate? * Describe Pond Filtration System: * How often do you maintain your pond filtration system and what do you do to maintain it? * What is your pond turnover rate (gpm) through your filtration system/sump? * Can you send us a picture of your pond and setup?