Behavior Consultation Request
If you would like to schedule a behavior consultation appointment, please fill out the form below to the best of your ability. The Behavior Program will contact the owner directly to schedule an appointment. Please note that it may take 48-72 hours for our staff to contact the owner to schedule an appointment. If you do not receive a phone call or email within 3-5 business days, please send us an email at behavior@cassvetservice.com.
Who is filling out this form?
*
Client (owner of the pet in need of a consultation)
Trainer
Primary veterinarian
Other
Primary veterinary clinic's name:
Primary veterinarian's name:
Do we have permission to contact your primary veterinarian for medical records of your pet?
Yes
No
Name of client:
*
Client's phone number:
*
Please enter a valid phone number.
Client's email address:
*
example@example.com
Name of patient:
*
Patient species:
*
Dog
Cat
Other
Patient age:
Patient breed:
Patient sex:
Intact female
Spayed female
Intact male
Neutered male
Brief explanation of the primary behavior concern:
*
Additional requests or comments:
Submit
Should be Empty: