Behavioral Intake Form

How long has patient been showing concerning behavioral activities? How old was patient at that time?

Is the patient up to date on Rabies?

Yes

Has the patient ever bitten anyone?

Yes

Please check all that applies to patient behavior

Distant

Growling

Snapping

Crying

Destroys objects

Inappropriate urination/defecation

Excessive barking

Fight with other pets

Scratches

Paces

Other

Has anything changed in the past 6 months that may have caused a change in behavior?

Has patient gone through any professional training? If yes, please explain.

Has the patient ever been properly socialized to other humans/pets?

Yes

Has patient ever been treated with medication?

Yes

If yes, please list medication, dose and duration of being on medication.

Is there anything else we should be made aware of during this consultation?

Trusty Vet

6945 Hwy 72 W Huntsville, AL 35806 email: Hello@trustyvet.com phone: (256) 489-8387

We are closed for lunch daily from 12PM-1PM.

Office Hours

Monday: 7:00am - 6:00pm

Tuesday: 7:00am - 6:00pm

Wednesday: 7:00am - 6:00pm

Thursday: 7:00am - 6:00pm

Friday: 7:00am - 6:00pm

Saturday: Closed

Sunday: Closed

View our holiday hours and closings >

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