Thank you for booking an appointment with The Veterinary Behavior Center!

Our team is committed to helping you and your pet have a happier and healthier life together. Here you will find important information about working with us and a patient questionnaire. All information provided on these forms is strictly confidential.

We will reach out to your primary care veterinarian directly for medical records. If you have any notes from a trainer, feel free to email those to info@vetbehaviorcenter.com in advance of your appointment.

If you have scheduled an appointment for more than one pet in your household, please fill out a form for each pet.

If you have any short videos that demonstrate the behavior problem, click here to request a Dropbox link to upload them. Never incite or prolong an aggressive or stressful event just for the sake of a video - this could be a bad learning experience for your pet and may be a safety risk.

Please complete this paperwork at least 3 days before your appointment.

Additional information about our Center, including your financial investment, can be found at www.vetbehaviorcenter.com or feel free to call or email. Please let us know if you have any questions in the time leading up to your appointment.

We look forward to meeting you and your pet(s)!

- The Veterinary Behavior Center team

Thank you for seeking out the services of The Veterinary Behavior Center, LLC. Living with behavioral disorders in pets can be very stressful, and we are honored that you have trusted us to help you and your family.

Reasonable expectations are important when treating behavioral problems. While in some cases we are able to treat elements of a behavioral condition relatively rapidly, the majority of behavioral improvement occurs over time. Behavior change is a process. Allow us to lead you through this process and most pets can show improvements. Your participation in this process, and consistent follow through, is essential for success. While improvements are common with many behavior problems, most behavior problems are not completely curable. For instance, if your pet is growling, snarling, snapping or biting, while we may be able to decrease the frequency and intensity of these behaviors, it is likely that, even with treatment, this behavior will occur at some point to some degree in the future. Our goal is to help you decrease the problem behavior to a level that at the very least you can comfortably live with and maximizes your pet's quality of life. Because each pet is an individual, there can be no guarantee on the results of treatment.

You could be held legally and financially responsible for any injuries that your pet causes. And, you alone are responsible for avoiding situations that could result in injury. By signing this form The Veterinary Behavior Center, LLC, Dr Ariel Fagen, or any other person employed by or affiliated with The Veterinary Behavior Center, LLC will not be held responsible for any injuries that may happen to you, other people, other animals or your pet during the course of treatment.

Furthermore, you agree to indemnify and hold The Veterinary Behavior Center, LLC, Dr Ariel Fagen, or any other person employed by or affiliated with The Veterinary Behavior Center, LLC harmless from and against any third-party claims, damages, liabilities, actions, judgments, suits, costs, disbursements and expenses of any kind of nature, including, without limitation, reasonable fees and disbursements of counsel, that may be imposed on, incurred by or asserted or awarded against The Veterinary Behavior Center, LLC, Dr Ariel Fagen, or any other person employed by or affiliated with The Veterinary Behavior Center, LLC in connection with the treatment of your pet.

By signing below you acknowledge the above information. You are the owner(s) of the animal(s) seeking treatment from The Veterinary Behavior Center, LLC. You acknowledge the risks inherent in owning an animal and accept the liability associated with it. You understand that all fees are to be paid at time of service and you accept full responsibility for fees incurred at The Veterinary Behavior Center, LLC during the diagnosis and treatment of your animal.

Please describe the top 3 reason(s) that you are scheduling the Diagnostic Assessment. If only one reason, feel free to skip sections entitled Behavior Problem #2 and Behavior Problem #3 and proceed directly to General Behavior Information below.

The Veterinary Behavior Center, LLC seeks permission to use any recordings, photos and videos for the purposes of diagnosis, treatment planning and monitoring as well as for educational and marketing purposes, including but not limited to lectures, webinars, presentations, printed materials and social media. When used for view in the public, no identifying information will be revealed.

Medications may be discussed or recommended in the course of treatment of behavioral problems. Many of the medications prescribed in veterinary behavior have not been approved by the FDA (Food and Drug Administration) for use in all or any animal species for all or any behavior problems. Thus, their use may be considered “off label”. This is a legal, common and well-accepted practice for veterinarians to prescribe medications in this manner. The side effects of off label usage have not been fully studied and regardless, any medication may have unexpected side effects. Not all pets will require the use of medications as part of their treatment, but we want you to be aware of this information in advance. We will make every effort to inform you of potential benefits and side effects of any medications recommended to the extent known. However, you should be aware that different pets may react differently to different medications. We welcome any questions about the use of medications in your pet’s treatment plan. By signing this form you acknowledge that you have received and read this information. Signing this form in no way obligates you to using medications in the treatment of your pet.