JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Reptile and Exotic Pet Veterinarian List Form
This form is for Veterinarian clinics with reptile and/or exotic pet services that wish to be listed on the Georgia Reptile Society's website.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Clinic:
*
Your answer
Best Phone Number and Email for your clinic:
*
Your answer
How long has your clinic been open:
*
Your answer
Does your clinic or veterinarian have AVMA accreditation:
*
Yes
No
Other:
What are your normal hours of operation:
*
Your answer
Primary exotic veterinarian on staff:
*
Your answer
What is your exotic veterinarian's schedule (if different from normal business hours):
*
Your answer
How many years of exotic experience does your veterinarian have:
*
Your answer
What uncommon reptile species does your veterinarian have experience with (reticulated pythons, Burmese pythons, Tegus, etc.):
*
Your answer
Is your clinic able to perform surgeries for reptiles/exotics:
*
Yes
No
Does your clinic operate as an emergency vet:
*
Yes
No
If not, does your your clinic have an emergency vet that you work with or recommend for reptiles/exotic pets:
*
Your answer
The Georgia Reptile Society works with clinics across the state, would your clinic be open to working with us in the future:
Yes
No
Clear selection
If so, would you be willing to, or does your clinic offer a rescue discount:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Georgia Reptile Society.
Does this form look suspicious?
Report
Forms