Client Request for Behavior Focused Exam

Are you a New or Established Client?

Primary Contact*

First NameLast Name

Secondary Contact

First NameLast Name

Primary Contact Email*

example@example.com

Primary Contact Phone Number*

Area CodePhone Number

Pet's Name*

Species*

Please let us know what trainer are you currently working with:*

Please list the specific individual.

Please note that Brooklyn Yard Veterinary Hospital only supports humane, science-based behavior modification methods. Utilization of aversive training methods (prong collars, electronic collars, punishment) is discouraged as part of a comprehensive behavior modification plan.

If you are not actively working with a trainer, establishing with a trainer is required before scheduling a behavior focused exam. See our list of recommended trainers HERE.

How long have you been working with your trainer:*

Please list specific timeframe.

Please list your trainers contact information (email address):*

Please notify your trainer that we will be sending a referral form to them to fill out. This step is important to complete the scheduling process.

Please provide a brief summary why your pet needs behavior support and/or why was it recommended to you:*

*While a trainer is an expert in behavior observation and formulating a behavior modification plan, a trainer is not qualified to make suggestions or recommendations about specific medications.

Please list ALL veterinary practices that your pet has been seen at:*

We are happy to help gather this information for you!

Does your pet have a bite history? In the case of human-directed bites, we would strongly recommend referral to a DACVB.*

Thank you for your interest in our services! We will be in touch as soon as we have received all the requested information. If you have not heard from us in 7 days, please feel free to reach out via email (hello@brooklynyardvet.com) as it can sometimes take some time to coordinate these appointments.

Please note that we typically schedule out 6-8 weeks for behavior-focused consultation
Once you are scheduled, you will be asked to fill out a more in-depth behavior questionnaire and complete all new client forms. We will send this information once your appointment has been scheduled.
Fee Schedule for Behavior Support
- For NEW clients to our clinic, you will be asked to prepay for the appointment ($350) at the time of booking.
- If you are an existing client who has already established at our clinic for veterinary care, the cost of a 1-hour in-clinic consultation is $225.
  - In certain cases, if you are actively working with a veterinarian in our clinic and a recent physical exam has been performed, a 30-minute phone (virtual) consult may be deemed appropriate for counseling purposes ($150). This is determined by the veterinarian.
- Follow-up phone consultations (if needed) after 3 months from the initial consultation ($85)

I understand that Brooklyn Yard Veterinary Hospital (BYVH) does not operate as a referral facility and I will need to transfer ALL veterinary care to BYVH. If you want to continue care with your regular veterinarian, please reach out to Animal Behavior Clinic or Synergy Veterinary Behavior as they are specialty referral facilities that manage cases in conjunction general practice veterinarians. *

I understand that the veterinarians at BYVH are not board-certified veterinary behaviorists and are general practice veterinarians with a interest in behavior and with experience managing cases requiring pharmacologic intervention. Patient's with more complex behavior patterns may still be encouraged to consult with Animal Behavior Clinic or Synergy Veterinary Behavior.*

I understand that BYVH reserves the right to not accept my pet as a patient for behavior focused care. *

Upload any information or medical records if available.

Upload Files Here

*Please note that we will need the actual medical record (not receipts or invoices).

Thank you so much for your interest in our behavior support services!

Feel free to call or email us with any questions or additional information.