New Patient History Form - Canine
Thank you for scheduling a behavioral medicine consultation for your pet. Veterinary Behavior Solutions is committed to providing excellent specialty care for your pet's behavioral needs.
The following form will help us gather information about your pet's lifestyle and behavior prior to your pet's appointment. If you do not understand any of the questions or do not feel comfortable answering a question, feel free to make that notation.
Please return this form to us at least 48 hours prior to your appointment. The form will be automatically submitted to us if you follow the form all the way through to the end. If you prefer to print out a copy, please submit it through email (email@example.com) or by fax (877.240.4543). DO NOT MAIL THE FORM.
All family members over the age of 5 who are involved with your pet are welcome to attend the consultation. Please allow a full two hours for the consultation. You may additionally contact us about bringing companion pets to the consultation if they are involved in the behavior problem.If you have other requests, please contact us by phone or email to discuss your specific situation at 877.203.5973 or firstname.lastname@example.org.
If you are concerned about the safety of you, a family member or other pets in the household prior to your consultation, please contact us immediately for further guidance.
We are looking forward to working with you and your pet!
Dr. Beth Strickler and the staff of Veterinary Behavior Solutions