Background complete this section only if you did not adopt your dog from the Calgary Humane Society – Where did you get your dog? If known background, why was the dog given up? What age was your dog when you adopted it? How long have you had the dog? Have you had any previous dog experience? Explain. Why did you choose this particular breed? Why did you choose this particular dog? Physical and Medical Issues Who is your veterinarian? Is the dog current on his/her Yes When was the dog’s last veterinary exam? vaccinations? No Does the dog have any Yes If yes, explain: known medical problems? No Is the dog on any type of Yes If yes, specify and explain why: medication? No Yes Does the dog have any food If yes, elaborate: allergies? No deafness ear infections allergies Has your dog experienced any of the following seizures thyroid disease heart disease If yes to any of the above, please specify: conditions? What is your dog’s reaction to the vet? Consultation Objectives What would you most like to 1. change about your dog’s behaviour? Name at least 2. three things in order of importance. 3. How often? Is the dog… housebroken? crate trained? What type of exercise does the dog receive? Describe a typical day in the life of your dog. Afternoon: Evening: Night: What’s your dog’s favourite activity? What’s your dog’s
Background – complete this section only if you did not adopt your dog from the Calgary Humane Society Where did you get your dog? If known background, why was the dog given up? What age was your dog when you adopted it? How long have you had the dog? Have you had any previous dog experience? Explain. Why did you choose this particular breed? Why did you choose this particular dog? Physical and Medical Issues Who is your veterinarian? Is the dog current on his/her vaccinations? Does the dog have any known medical problems? Is the dog on any type of medication? Does the dog have any food allergies? Yes No Yes No Yes No Yes No When was the dog’s last veterinary exam? If yes, explain: If yes, specify and explain why: If yes, elaborate: Has your dog experienced any of the following conditions? deafness ear infections allergies seizures thyroid disease heart disease If yes to any of the above, please specify: What is your dog’s reaction to the vet? Consultation Objectives What would you most like to 1. change about your dog’s behaviour? Name at least 2. three things in order of importance. 3. Is the dog… housebroken? crate trained? What type of exercise does the dog receive? How often? Describe a typical day in the life of your dog. Afternoon: Evening: Night: What’s your dog’s favourite activity? What’s your dog’s
Aggressive-Dog-Behaviour-Consult-History-Form-2014.docx