Get Behavior Mini-consult Referral Form

The Behavior Mini-Consult Referral Form is designed to assist veterinarians in referring patients for behavioral consultations. This guide provides a step-by-step approach to completing the form online, ensuring that you provide all necessary information to facilitate a smooth referral process.

Follow the steps to complete the referral form effectively.

1. Press the 'Get Form' button to access the Behavior Mini-Consult Referral Form. This will allow you to open it in your preferred document editor.
2. Begin by filling out the referring veterinarian section. Include the current date, your name, email address, clinic or hospital name, and fax number to ensure accurate communication.
3. Next, provide details regarding the referred pet. Include the pet’s name, species, and the last name of the client. It is important to provide accurate information for proper identification.
4. Indicate how long you have known the pet and owner, along with a rating of the client's motivation to adhere to a treatment plan, using the provided scale from 1 to 5.
5. Detail the client's attitude toward psychoactive medication by marking the relevant option: very interested, possibly interested, or not an option.
6. Summarize the medical history by filling in the relevant fields for surgery, medical disorders, current medications, and allergies. Be thorough in your answers to ensure comprehensive understanding.
7. Document any previous behavior treatments attempted, including medication names, dosages, duration, and reasons for discontinuation if applicable.
8. Make sure to collect and attach copies of all laboratory tests done in the past year before submitting the form.
9. In the following pages (2-6), ask the client to complete additional sections regarding the pet’s behavior, training, and environment and remind them to return it promptly.
10. Once you have completed all necessary sections, you can finalize the form by saving changes, downloading a copy, printing it out, or sharing it via email or fax to Dr. Schwartz.

Take the next step for your pet by filling out the Behavior Mini-Consult Referral Form online now!