Veterinary referral page

If you prefer to fill in the information below offline in a Word document or printed out, please download the vet referral by clicking here and send it via email together with the dog's history to zoe@dogbehaviourhelp.co.uk

Downloadable veterinary referral form

Veterinary referral - Online submission

Please note, this form is only to be filled in by a referring vet (not by an owner!).

Client first name

Client last name

Client email

Client Postcode

Dog Name

Breed

Age

Weight (kg)

Sex and neuter status

Referring Veterinary Practice Name and Address

Full name of the referring vet:

Phone number (Reception or Vet)

Email address to send the behaviour summary or report to (e.g. practice or vet email):

Are you able to perform a full clinical examination on this patient if further investigation is required?

Yes

Limited (due to the dog's behaviour/safety)

Details of any current or ongoing medical conditions (including medication):

Additional Clinical Comments or Considerations (Optional):

I, the referring vet, consent to Zoe Price (CCAB), from Dog Behaviour Help, to do a behaviour consultation or an initial behaviour assessment for the above referred dog.

Please upload the dog's veterinary history (or you can email it separately to zoe@dogbehaviourhelp.co.uk):

Signature from the referring vet (please sign or type):

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FAQs

Behaviour consultation process When a client books a behaviour consultation, you and the client will receive a full behaviour report, including management and behaviour modification training, within 8 days. You will also receive an email stating whether further veterinary investigation or input is required.

Initial behaviour assessment

If the client books the initial behaviour assessment (1h) via the guided behaviour pathway, you will receive an email from Dog Behaviour Help within 8 days of the assessment taking place if further veterinary investigation or input is needed for this case.

The summary you and the client receive after this initial assessment includes immediate management strategies they can implement to help improve their dog's behaviour. But it is up to the client to book their first follow-up, where I design and help implement the training plan for the referred dog. This allows clients to get started at a much cheaper price point and they decide when they are ready for further advice.

Please note for multi-dog household cases: To ensure I can provide a comprehensive and tailored behaviour plan for each of the dogs, please submit one form per dog, or provide the same details about the other dogs in the 'Additional Clinical Comments' section if easier, for example: "I also refer the following patient to 'Dog Behaviour Help': Fido, 3-year-old Jack Russel Terrier, male, neutered, 10kg, food intolerance to chicken." Please also upload this dog's veterinary history.

Veterinary referral page

Veterinary referral - Online submission

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