Wildbird Recovery Patient Update Request

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Follow up on the wild bird that you found and brought to Wildbird Recovery. Please fill out the following Wildbird Recovery Patient Update Request Form with as much information as possible so that we can easily find the electronic medical record for the patient that you brought in. We will update you on the final disposition of the bird via email. Please kindly know that only one submission is required. Thank you for understanding that the care for our patients is a priority. Please be sure to check your SPAM folder so that you do not miss any correspondence from us.

Email *

Name of Rescuer on the Patient's Intake Sheet *

Address of Rescuer on the Patient's Intake Sheet *

Date Patient(s) Admitted (If unknown, please provide the closest approximation.) *

YYYY

Admit Number

Species

Number of Patient(s) Admitted

Additional information you would like to share?

Submit

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