Please Note: On Tuesday, December 24th, we will close early at 1:00 PM. On Wednesday, December 25th, we will be closed all day. On Thursday, December 26th, we will open late at 9:30 AM.

Dog Behavior History Form

Save time during your appointment. Complete your required forms online from any device at any time before your visit.

Dog Behavior History Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Patient Information

Environmental Information

Medical History


Scientific studies have shown a strong connection between gut and brain health. Please answer the questions below regarding your dog's gastrointestinal tract health.

Behavior Problem Information

Please fill out the section below regarding your three top concerns about your pet's behavior.

Sleep Behaviors

Aggression Screen

If your dog has shown aggression (biting, lunging, barking, growling), please fill out this section. If not, go to the next section. 

Storms/Sounds

If your dog exhibits fear or anxiety during storms or loud noises please fill out this section. If not, go to the next section. 

Separation Behaviors

If your dog exhibits anxiety or distress when left alone please fill out this section. If not, go to the next section. 

Anxiety/Distress in the car

If your dog exhibits anxiety or distress when riding in the car please fill out this section. If not, go to the next section. 

Displacement/Compulsive behaviors

If your dog exhibits any of the behaviors below, please fill out this section. If not, go to the next section.