Avian Husbandry Form Please fill out our Avian Husbandry Form provided below. If you need help or have any questions, please call us at (215) 995-4049. Avian Husbandry Form Avian Husbandry Form Please Select One * I elect CPR My pet is a DNR Name * Name First First Last Last Date * Email * Phone * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal We regularly post photos of our patients to our social media, both for education and for fun! Do you give us permission to post photos of your pet? * YES I give permission to post photos of my pet(s) NO please do not post my pet(s) on social media How did you hear about our clinic? Current client Social Media Website Veterinary Emergency Group (VEG) OtherOther Name of client Please Specify If you are human, leave this field blank. Next