If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form should be completed by a qualified vet to record the veterinary examination of a wild bird which the owner believes will not survive in the wild.
If the vet agrees that the bird cannot be released into the wild, the bird must be registered and microchipped.