Dr. Rebecca Ledger's Behaviour Appointment Request Form for Veterinarians

Welcome Veterinarians!

Please enter all patient and owner information below.

We will be in touch with your client promptly to provide information about Dr. Ledger's services and to book an appointment.

Clinics that prefer to fax or email our original form are welcome to do so.

Veterinarian with Dog - Dr. Rebecca Ledger provides dog and cat animal behaviour assessments and management plans

FOR VETERINARY CLINIC USE ONLY

Today's Date

Request Type

Urgent

Next Available

Client & Patient Information

Client Names

Name of Cat or Dog

Primary Phone Number

Secondary Phone Number

Primary Email

Secondary Email

Client Address

Species

Dog

Cat

Age

Sex

FI

FS

MI

MN

DOB

Weight in KG

Breed

Veterinary Clinic Details

Clinic Name

Name of Treating Veterinarian

Clinic Phone Number

Clinic Email

Behavioural Issues

.

Hyper-activity

Excessive / inappropriate barking (dogs)

Excessive vocalization (cats)

.

Anxiety / behaviour during nail trims

Anxiety / behaviour in the vet clinic

Chasing traffic

.

To prepare for the arrival of a baby into the home

Gets attacked by other dogs

Other (Please explain in box below)

Other*

How Does The Pet Behave on Physical Examination?

Current Medications & Dosage

Please email or upload relevant medical history and test results - 1 file per upload

Upload Medical Record (PDF)

Upload Test Results (PDF)

Upload Additional Files

Thanks for submitting! We will be in touch with your client soon.

Animal Behavioural Therapy in Vancouver, B.C. | Aggression, Anxiety, Trauma, age-related conditions

NON-VETERINARY
REQUESTS

Anyone wishing to book a consultation, please ask your veterinarian to fill out a request form. Otherwise, please contact us using the form below.
If you are looking for assistance with a legal case, or alternative matter, please contact us here.

Contact Animal Behaviour & Welfare Consulting

Location

Vancouver, British Columbia

Voicemail + Email

604-569-9663

office@pet-welfare.com

Vet Request Forms

Please fill out this online form