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I believe in regular checkups. My Chameleon's vet recommends twice a year. Fecals are an absolute must. If your chameleons eats they can get various parasites from the feeders. If you wait to go when they become sick it could be to late. It's also best to have a good relationship with your vet so that when your chameleon does become ill you will know and trust your vet.
Before you get a chameleon, locate a vet in your area who can offer care for it...