INTAKE INFORMATION FORM
Please print this form and bring it with you filled in when you bring a bird to us. It will help make the new home much more comfortable.
IOWA PARROT RESCUE
2479 Golden Ave
Letts, IA 52754
Intake Interview date
1. Bird's Name
2 Species
3. Age
4. sex
5. weight on intake
4. previous medical issues if any
5. Current medical issues if any
6. vet
7. food habits/preferences
8. bathing habits (spray? bathe itself? frequency?)
9. history with other birds
10. sleeping habits (bedtime? covered? night frights?)
11. likes and dislikes (gender preference in people)
12 flighted? Has ever flown?
Owner information:
Name:
Address:
Email:
Where bird was purchased or adopted
How long has bird lived with you
Number of previous owners, if known
Reason for surrendering bird
