Professional Consultation for Animal Professionals - Donovan Veterinary Behaviour Practice

Your Name*

First Last

Company Name

Your Profession*

Animal Behaviourist

Clinical Animal Behaviourist (CAB or CCAB)

Trainer

Shelter Staff

Student

Other

Contact Address*

Street Address Address Line 2 City Post Code

Email*

Contact Number

Animal Name*

Breed*

DOB / Age*

Gender*

Male

Female

Is the animal neutered?*

Entire

Neutered

Weight (kg)

Brief history/description of problem*

To your knowledge, could there be any medical reason for this behaviour?*

Provide a summary of what you believe is the cause and solution to the behaviour*

Describe any methods or techniques used so far*

The consultation will be with a DVBP Clinical Animal Behaviourist. Each of our clinical animal behaviourists have veterinary support on all their cases. If you think the consultation would be more suitable to be with a DVBP Veterinary Behaviourist, please state why here:

Is the owner aware you are contacting DVBP for a professional consultation?*

Yes

Will the owner be attending the consultation?*

Yes

Owner's Name*

Owner's Email

If anyone else will be attending the consultation please state their name, relationship to the animal and their contact email:

Permission has been given by the animal's vet to discuss this case.*

Permission gained

Vet

Vet Practice and Contact Email

Please attach a copy of the animal's case information, timeline, full clinical history including any test results, referral reports, etc.

Drop files here or

Accepted file types: pdf, docx, doc, rtf, txt, xml, Max. file size: 5 MB, Max. files: 6.

How did you hear about us at DVBP?*

Any advice and recommendations provided by Donovan Veterinary Behaviour Practice for this animal are based on the information provided in advance of and during the consultation and apply only to the animal being discussed.*

I have read and understood

Our experienced clinical animal behaviourists work with our in-house veterinary behaviourists on each of their cases. If deemed necessary, this case may 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

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Behaviour Advice for Non-Veterinary Animal Professionals

Donovan Veterinary Behaviour

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