Animal ID/Tag No._________________ Rehabilitation observations form Instructions: Animal ID/Tag No. to correspond with number on the Wildlife Rescue and Release Form which accompanies the animal when it is admitted for rehabilitation. Attach this form to the Wildlife Rescue and Release Form. A separate form should be completed for each individual animal. Use the key to complete the form. Species Age Sex M F History Injury/Illness Laboratory results Observations & treatment log Daily Doses 1 2 3 Comments 4 Supplement & Faeces Quantity Medication Urine Time Body Weight (kg) Appetite Food Type Behaviour Date KEY: Behaviour B = bright R = responsive Behaviour A = active L = listless D = depressed Form – Rehabilitation Observations V1 (INT12/32160) Appetite, Urine, Faeces = normal X = abnormal (see comments) 0 = none 18 April 2012 Comments e.g. FF = Force fed FL/O = fluids orally FL/I = fluids injected RL = ready for release Page 1 of 2 Initials Animal ID/Tag No._________________ Observations & treatment log (cont’d) Daily Doses Comments Supplement 1 2 3 & Faeces Quantity Medication Urine Time Body Weight (kg) Appetite Food Type Behaviour Date 4 KEY: Behaviour B = bright R = responsive Behaviour A = active L = listless D = depressed Form – Rehabilitation Observations V1 (INT12/32160) Appetite, Urine, Faeces = normal X = abnormal 0 = none 18 April 2012 Comments e.g. FF = Force fed FL/O = fluids orally FL/I = fluids injected RL = ready for release Page 2 of 2 Initials