Behavior Consult Request Form

Behavior Consulting Request

Aggression, Reactive and Fearful Dogs
How does Behavior Consulting work?

The Consult Appointment: the dog will assessed and an appropriate plan for addressing your dog's behavior issues will be developed. Once the initial assessment appointment is complete, your Consultant will develop a training plan to work though the problem behaviors. This plan often includes basic skills, desensitization/counter conditioning fearful associations and training aids to enable your dog to learn new coping mechanisms for the problem behaviors.
Full Name*

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
Dog Name
Dog Age & Breed or Breed Mix
How long has the dog been with you?
Veterinarian
What days work best for you?*

MondayTuesdayWednesdayThursdayFridaySunday
What time works best for you?*

MorningAfternoon
Dog Health and History
Has your dog been seen by a Veterinarian regarding the problem behaviors? Please list any medical conditions and/or medications your dog is on for the behavior problems
What are the primary problem behaviors your dog is exhibiting?
What have you done to try and help your dog with these behaviors?
Have you worked with a Veterinary Behaviorist or another trainer to try and solve these behaviors?
What training have you completed with your dog?
Is your dog conditioned to a muzzle?
Has your dog bitten a person or other animal? Please describe each incident
Should be Empty:

Behavior Consulting Request