Behavior Intake form

At Hollymead Veterinary Hospital, our goal is to create a calm, safe, and positive experience for both you and your pet. To help us tailor each visit to your pet’s individual needs and to ensure the safety of our team, we ask that all clients complete an intake form prior to their appointment. This allows us to provide the best possible care for your pet.

Client’s full name

What is your pet’s name?

How would you describe your pet’s behavior around other animals and people?

Does your pet have any sensitive areas that they do not like to have touched by you or others?

Has your pet required a muzzle for previous veterinary visits?

Yes No

Has your pet ever bit or scratched someone during a veterinary visit?

Yes No

Which of the following situations has your pet tried to avoid, or shown a strong dislike for?

What else should we know about your pet’s behavior?

Does your pet go to other places in the car besides the vet?

Yes No

Does your pet show any reluctance about getting into the carrier or car?

Yes No

How would you describe your pet’s behavior during travel?

Yes No

What is your pet’s favorite treat? If possible, please bring treats and/or toys to future veterinary visits.

Are there any food/treats that your pet is not allowed to have due to allergies- either your pet or a family member?

Has your pet ever been given any supplements or prescribed any medications to help manage their fear or anxiety associated with vet visits?

Yes No

How did your pet respond?

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