Rehabilitation observations form V1

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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
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