Name * First Name Last Name Email * Phone (###) ### #### Pet's Name * Pet's Breed * Pet's Age * Pet's Weight (approx) * Age When Obtained * Sex Spayed/Neutered? * Medications Referred By Please list other animals and humans in family you’re consulting about (if applicable) How would you describe the current behavior problem? * How often does the problem behavior occur? How long has this behavior been occurring? * Has a veterinarian been consulted about this behavior problem? Possible medical causes ruled out? * Thank you! Peer To Peer Consultation
