Dog's Info
Your Name
*
Dog's Name
*
Breed(s)
if known
Age
best estimate is fine
Sex
Has your dog been spayed or neutered?
yes
no
How long have you had your dog?
Where did you get your dog?
Shelter/Rescue
Breeder
Rehome
Other
If breeder, what is their name and city?
If other, please describe:
Please upload a photo of your dog for their file:
Browse Files
Drag and drop files here
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Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Lifestyle + Routine
How much exercise does your dog get daily?
please include type and duration
How often is your dog alone, and for how long?
Where does your dog sleep?
Is your dog crate trained?
Yes
No
In Progress
Not Sure
Health History
Any known current or past medical conditions?
Is your dog on any medications?
Any known allergies?
Any history of injury, chronic pain, or surgeries (besides spay/neuter)?
Previous Training
Has your dog had any previous training?
Yes
No
If yes, where or with whom?
Please select any training tools previously used:
Clicker
Prong collar
E-collar
Harness
Head halter/Gentle Leader
Other
Has your dog responded negatively to any tools selected above?
Behavioral History
What time of day does your dog have the most energy?
Check any behaviors your dog currently exhibits:
Fearfulness
Reactivity to dogs
Reactivity to people
Resource guarding
Separation anxiety
Excessive barking
Destructive behavior
House soiling
Overarousal/hyperactivity
Other
Check any behaviors your dog has previously exhibited:
Fearfulness
Reactivity to dogs
Reactivity to people
Resource guarding
Separation anxiety
Excessive barking
Destructive behavior
House soiling
Overarousal/hyperactivity
Other
If you checked any, please describe context and severity
Has your dog ever bitten a person or animal? Please describe.
Include situation, dog's emotional state, and severity of bite
Training Goals
What would your ideal day with your dog look like?
Off leash hiking? Beach trips? Farmers Market? Or just a relaxed walk around the neighborhood?
Tell me your top three goals for our time together:
Is there anything else you'd like me to know about your dog?
Submit
Should be Empty: