Please fill out this form before your appointment if you have ornamental aquarium or pond fish or you operate as an aquaculturalist (producer/fish farmer). Thank you for your cooperation. Having this information in our electronic medical record before the visit will be very helpful. If you have made an appointment please also fill out the New Client form. 

Please Note! Filling out the history form alone without also filling out the New Client form means no appointment can be scheduled nor do we have any contact information on the history form.