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781-721-0707
364 Cambridge Rd Woburn, MA 01801
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Fish Health Services Questionnaire
Environmental History
Volume of affected system (gallons or liters)
Depth of pond (if applicable)
How long has the tank been running?
Describe the substrate at the bottom(material, depth, size)
Any recent equipment failures/malfunctions? Power outages?
Yes
No
Describe any ornaments and décor (material etc.)
Is the tank covered?
Yes
No
Location of tank/pond (near windows? Trees?)
Life Support Systems
Number and type of filters? Type of media in filter(s)?
Does the tank/pond have aeration? Describe:
Does the tank have a heater? Is temperature consistent?
Does the tank have a UV sterilizer? If yes, age of bulb?
Pump type and volume? What is the water turnover rate?
What type of lighting? Describe the photoperiod settings.
Protein skimmers?
Yes
No
Maintenance
Please describe the water change schedule – how often? How much? Any water treatments used? How often is algae scrubbed? Gravel vacuumed? How are filters cleaned?
Water Quality
What is the source of water used for the tank? (ex Tap, Well, RO) Is/how is it treated prior to use?
Is water quality routinely checked? How often? Which parameters and what method? (test strips v reagent tubes v other).
pH:
Temperature:
Nitrite (mg/L):
Nitrate (mg/L):
Ammonia (mg/L):
Hardness (mg/L) :
DO (mg/L) :
Chloride (mg/L) :
Salinity (ppt) :
Have there been any results trending outside of the target ranges?
What is the appearance of the water? (cloudy, clear, colored etc)
Fish History
How many fish are in the tank/pond? What species? What size?
Any recent additions? Were they quarantined prior to addition? Describe quarantine procedure used.
Focusing on the Sick Fish
How many fish (and which species) are affected?
Please describe the issue in detail (date first noted, describe progression – please include any behavioral changes such as abnromal swimming, hyperactive activity, listnessness etc).
How is the appetite?
Have you tried any OTC treatments? If yes, please list drug/dose/duration. What was the result of the treatment?
Have there been any fatalities?
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Home
About Us
Meet Our Team
Promotions
Careers
New Clients
New Client Registration Form
Services
Wellness Care
Aquatics
Fish Health History Form
Dentistry
Surgery
Ultrasound
Laboratory & X-ray
Resources
Dog Resources
New puppy Info
Canine Vaccines
Rabies Information
Cat Resources
New Kitten Info
Feline Vaccines
Rabies Information
Pet Health Tools
Pet Health Library
How-To Videos
Pet Health Checker
Pet Food Recalls
Product Recalls
News
Physical Therapy & Acupuncture
Flea & Tick Products
Behavior & Training Resources
Local Shelters
Wildlife Resources
End of Life Resources
Payment Options
Pet Insurance
Contact
Request Appointment
Prescription Refill & Food Order Form
Emergencies
Pharmacy
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