Veterinary Behaviour Referral Form Logo
  • Veterinary Behaviour Referral Form

  • PLEASE ENSURE THAT THIS ENTIRE FORM IS COMPLETED. 

    If you are short on time another member of staff may complete it for you to then check over and sign. You can also SAVE this form at the bottom and return later to finish completing it. 

    As a Clinical Animal Behaviourist and full APBC member obtaining this referral form is required. Veterinary referral is important to rule out any underlying medical conditions as problem behaviour can occur from arising or previous medical conditions. Veterinary involvement will eliminate this aspect of the problem, so treatment can be focused on. It will also provide a point of contact should we need to discuss anything with you.


    PLEASE NOTE: 

    1) The owner will also be automatically emailed with a copy of this submission, please ensure you enter their email address correctly. 

    2) This form is for VETERINARY SURGEON referral, forms completed by the owner will not be accepted

    PRINTED COPIES WILL NOT BE ACCEPTED

    If you have any issues completing this form online please use the contact form HERE to let us know detailing the issue so we can look into it OR so we can help you with a work around if your time is short.

  • Owner & Animal Details

  • If an incorrect email address is entered in the box above the owner will not receive vital information and the process cannot be completed accurately. 

    In this instance it is vital the owner is instructed that they must reach out if they are to book in for any help. 

  •  -
  •  -
  • Veterinary Surgeon Section

    In order to certify your approval for referral and safeguard the well-being of both your clients and their pet, please complete the following form and return it with the medical history. If you wish to post this please contact Katey for a postal address.
  •  -

  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Please note that until a case is released to another Veterinary Surgeon, then you, as the client’s normal Veterinary Surgeon remain responsible for the treatment, advice, and any prescriptions given. I hereby acknowledge my approval for the client described above to be referred to Katey Aldred & Pooch Paws for management of the current behaviour problem

  • Should be Empty: