Owner
Dog
Dog Age
Dog Breed
Gender
Reason for hiring a dog trainer
Summary
Acquired at age
Acquired from
History before adoption
Age at time of assessment
Previous training or pet care services (grooming, day care, board and trains, etc)
Most recent veterinary exam
Medical History
Current Medications
Diet
Behavioral Reasons for Training
Summary
Known Bite History
*** I (CLIENT) will provide a copy of vet records prior to session
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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