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The Lizard Lighthouse
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The Lizard Lighthouse
Adopt
Available for Adoption
Adoption Application
Foster
Friends
About
Donate
Contact
The Lizard Lighthouse
Adopt
Available for Adoption
Adoption Application
Foster
Friends
About
Donate
Contact
The Lizard Lighthouse
Adopt
Available for Adoption
Adoption Application
Foster
Friends
About
Donate
Contact
The Lizard Lighthouse
Adopt
Available for Adoption
Adoption Application
Foster
Friends
About
Donate
Contact
Intake Form
Basic Animal Information
Name
(Required)
Sex
(Required)
Male
Female
Unknown
Approx. Age
(Required)
Species
(Required)
Morph
Color(s)
Apparent Weight
(Required)
Underweight
Healthy
Overweight
Examination
Examination Photo(s)
Drop files here or
Select files
Max. file size: 512 MB.
Aggressive
Yes
No
Aggression Notes
Eye Irritation or Discharge
Yes
No
Eye Irritation or Discharge Notes
Nose Irritation or Discharge
Yes
No
Nose Irritation or Discharge Notes
Wounds
Yes
No
Wounds Condition
Open
Scabbed Over
Both
Wounds Location and Notes
Stuck Shed
Yes
No
Stuck Shed Location and Notes
Missing Limbs/Digits
Yes
No
Unsure
Missing Limbs/Digits Location and Notes
Posture
Normal
Abnormal
Unsure
Posture Notes
Femoral Pores
Normal
Abnormal
Unsure
Femoral Pores Notes
Nails
Normal
Trim Needed
Nails Notes
Skin Abnormalities/Scars
Normal
Abmormal
Unsure
Skin Abnormalities/Scars Notes
Impacted
Yes
No
Unsure
Impaction Notes
Energy Level
Alert
Lethargic
Unsure
Energy Level Notes
Parasites
Yes
No
Unsure
Parasites Notes
Yellow Fungus
Yes
No
Unsure
Yellow Fungus Notes
Hydration
Good
Dehydrated
Unsure
Hydration Notes
Signs of MBD
Yes
No
Unsure
Signs of MBD Notes
Signs of Necrosis
Yes
No
Unsure
Signs of Necrosis
Signs of Mouth Rot
Yes
No
Unsure
Signs of Mouth Rot Notes
Signs of Scale Rot
Yes
No
Unsure
Signs of Scale Rot Notes
Mouth Sores
Yes
No
Unsure
Mouth Sores Notes
Tail Condition
Original
Regrown
Missing
Unsure
Tail Condition Notes
Additional Examination Notes
Intake Performed By
Name
(Required)
First
Last
Signature
Intake Date
MM slash DD slash YYYY
Intake Time
Hours
:
Minutes
AM
PM
AM/PM
Contact
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Available for Adoption
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Friends
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