Behaviour Referral

from Veterinarians

If you have a client looking for behaviour help with their dog, we can help! Our Good Dog program has helped dogs with reactivity, fear, anxiety, veterinary handling, resource guarding, aggression, separation anxiety, and more. Fill out the form below and we’ll reach out to your client to get them set up in our behaviour program.

Please fill out the form below with your client’s information, and we will reach out to them to set up an appointment.

Referring Veterinarian's Name and Clinic

Referring Veterinarian's License Number

Client's Name

First Name

Last Name

Client's Email

Client's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Clients Dog's Name

Dog's Breed or Mix

Dog's Date of Birth

YYYY

Dog's Gender

Male

Female

Is the Dog:

Intact

Neutered

Spayed

What does your client consider to be the behaviour problem?

What does the vet consider to be the behaviour problem?

Does the dog have any allergies? If yes, to what?

Does the dog have any significant medical history and if so, please share relevant details.

What is the dog’s general demeanor in clinic? Does he or she need to wear a muzzle during office visits?

Do you have any concerns about this client that we should be aware of?

Is there anything else you'd like us to know about the dog or the client?

Behaviour Referral

from Veterinarians

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