Equine Behavioural History Form

Dr Hannah Donovan BSc (Hons) BVM&S MVetSci MSc MRCVS CCAB
RCVS Advanced Practitioner in Companion Animal Behaviour

Equine Behavioural Form

"*" indicates required fields

Client Details

Client Name*

First Last

Address*

Street Address Address Line 2 City County Post Code

Email*

Phone*

Patient Details

Horse Name*

Breed*

Age (D.O.B)*

Gender*

Is the animal neutered?*

Entire

Neutered

Height (Hands or cm)*

Do you have any other horses? If so, please list them

Gender

Age

Breed

How many people care for your horse? Please list

Name

Age

Gender

Occupation

Relationship with horse

With which insurance company is your horse insured? Leave blank if your horse is not insured.

What has been your reason for owning/purchase of this horse?

How long have you owned your horse?*

Does your horse have any known previous history of behavioural issues?*

Is there any relevant previous veterinary/injury history?*

What is your horse’s lifestyle like? For example, stabled, kept out, how many in a field?*

What is your daily feeding regime? What do you feed? Does this change depending on the season?*

If you ride, what tack do you use? Please include anything you may apply for certain disciplines

Which vet practice is your horse currently registered with?*

If your horse was registered with another veterinary practice in the past, please provide the details of that practice.*

When was the most recent equine dentist visit?*

When was the most recent back and saddle check?*

Is your horse shod? How frequently? How is your horse with your farrier?*

What type of headcollar do you use?*

In your own words, please describe the main problem(s) in your horse’s behaviour*

When was the first incident? Please describe it in detail*

Please describe two more occasions and what you think may have been happening at the time*

What do you think the triggers are for these behavioural issues? Why do you think your horse displays this behaviour?*

Have there been previous attempts to rectify the situation? If so, what methods have been used?

Does your horse display any other unwanted behaviours?*

What outcome would you ideally achieve from a referral behavioural consultation?*

Realistically, how many hours do you feel you spend directly with your horse per week, for example, during play, training, exercising, relaxing together, quality time together?*

Has euthanasia been considered for your horse?*

Attach any additional information such as photos, videos, floorplans, relevant reports, timelines, etc.

Drop files here or

Accepted file types: pdf, docx, doc, rtf, txt, xml, Max. file size: 64 MB.

How did you hear about us at DVBP?*

Do you give permission for Donovan Veterinary Behaviour Practice to use suitable photos and videos of your animal in our printed and online publicity, and possibly to be used as examples in case studies for educational purposes?

Permission given

Our experienced clinical animal behaviourists work with our in-house veterinary behaviourists on each of their cases. If deemed necessary, this case may also be discussed with our in-house internal medicine specialist.*

I have read and understood

Do you agree to the Terms and Conditions?*

I have read and agree to the Terms and Conditions