• Florida Veterinary Behavior Service

    Florida Veterinary Behavior Service

  • Lisa Radosta DVM, DACVB

    Daphne Ang DVM

    Erica Grier DVM

    3421 Forest Hill Blvd, West Palm Beach, FL 33406

    Phone:561-795-9398 Fax:561-795-8537

    Email: info@flvetbehavior.com Web: www.flvetbehavior.com

     

  • Hello!


    Thank you for making a behavioral medicine appointment for your pet. We have been providing specialty behaviorial medicine treatment to our patients in south Florida since 2007. My team and I are committed to helping your pet overcome his or her behavior disorders.

    In this packet, you will find a registration form, tips for your pet's appointment and a patient questionnaire. Please fill out these forms and fax (561-795-8537) or email (info@flvetbehavior.com) them back to our office at least 3 days prior to your appointment. We will get in touch with your primary care veterinarian(s) directly to request your pet's medical records.

    Please let us know what we can do to help you in the time leading up to your pet's appointment. You can find maps with our location information and direct numbers to those hospitals at our website:www.flvetbehavior.com.

    We are looking forward to meeting you and your pet!

    Sincerely,

     

    The Florida Veterinary Behavior Service team

     

  • Florida Veterinary Behavior Service Registration Form and Waiver

  • Primary Pet Parent (your pet's medical record will be under this person) 

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  • Secondary Pet Parent 

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  • Would you like us to email you when new articles are uploaded onto our website? Emails are never shared with anyone!
  • We may take pictures and videos as a part of your pet's appointment. Below is a consent form for use for images of your pet. When used, there will not no identifying information of the pet or yourself such as your name. Please consent below to whichever option works best for you.

  • I am the owner(s) of the animal(s) seeking behaivoral medicine treatment from the Florida Veterinary Behavior Service. Behavioral treatment, training and advice when properly maintained after completion can be very helpful in resolving problem behaviors in aniamals. Because each pet is an individaul, no guarantee or assurance can be made as to the results that may be obtained. Animal behavior including aggresion is unpredictable and will remain unpredictable after its treatment. Florida Veterinary Behavior Service cannot promise that the animal's Behavior Service treatment, training or advice will completely eliminate the animal's potential danger to persons or completely control the animal's aggressiveness. Animals should be closely supervised particularly around children and infants and should be controlled at all times including conformance with local ordinances and "leash laws."

    I am bringing my pet to this appointment with a full knowledge of these risks and understand and accept the liability that is inherent in owning a pet who has shown aggressive behavior.

    I understand that all fees are to be paid at the time of service and accept full responsibility for the charges incurred in the treatment of my pet

  • Primary Pet Parent's Signature (use your cursor to sign)
  • SecondaryPet Parent's Signature (use your cursor to sign)
  • Pet Parent's Signature (use your cursor to sign)

  • Helpful Hints...

  • Videos can be very helpful when assessing a pet's behavior patterns. Please send videos of your pet's environment and the behavior problem itself to us at the email above. If the video is too large to send it by email, please upload it to Youtube or Dropbox and send us a link. Do not under any circumstances provoke aggressive behavior in order to get us a video.

    Bring all pets that are involved in the problem to the appointment if you can do so safely. If your other pets are not involved directly in the problem for which you are seeking help, it is better for you to leave them at home so that we can concentrate solely on the pet who needs help.

    Bring your pet's favorite toys and treats with you to the appointment in case we treat your pets on that day or we can use those items during your pet's appointment. 

  • Bird Behavioral Questionnaire

  • Patient Information

  • Sex
  • Has your bird had other owners?
  • 0/50

  • Environmental Information

  • Has there been any significant change in your household’s routine or schedule in the past 3 months?
  • 0/100
  • Are there any children in the house or who come to visit regularly?
  • 0/100
  • If your bird goes outside, does someone go out with your bird?
  • Where is your bird when alone? Check all that apply.

  • Where is your bird when you are home? Check all that apply.

  • Separation Behaviors

  • How does your bird behave when you leave?

  • How does your bird behave when you return?

  • Sleep Behavior

  • Where does your bird sleep?

  • Does your pet sleep through the night?
  • Have you noticed any change in your pet’s sleeping patterns in the past 3 months?
  • Does your pet take naps during the day when you are home?
  • How many times do you feed your bird a day?

  • Do you feed your bird treats each day?
  • Does someone have to be present for your bird to eat?
  • 0/100

  • Medical History

  • Has your bird ever been bred?
  • Are you planning to breed your bird?
  • Does your bird groom or bite itself?
  • What is your bird's overall activity level?

  • Behavior Problem Information

    Please fill out the section below regarding your three top concerns about your pet's behavior.

  • Aggression Screen

    If your bird has shown aggression (biting/lunging), please fill out this section. If not, go to the next section. 

     

  • What learned cues does your bird know?

  • Are there any people in your household or who regularly come to visit who are at greater risk if bitten?
  • Has your bird ever bitten a person?
  • For each situation listed, check your bird's reaction(s) to you:
    Rows
  • For each situation listed, check your bird's reaction(s) to your guests:
    Rows
  • What does your bird look like when he/she is aggressive? Check all that apply.

  • Please check all the previous treatments tried:

  • Sounds 

    If your bird exhibits any of the behaviors below, please fill out this section. If not, go to the next section.

  • What sounds is your bird afraid of?

  • What does your bird do when he hears a scary sound? Check

  • How long does it take after a sound for your bird to calm down entirely?

  • Displacement/Compulsive Behaviors

    If your bird exhibits any of the behaviors below, please fill out this section. If not, go to the next section. 

     

  • Does your bird do any of the following:

  • Did someone recommend euthanasia before your visit to us?
  • Have you considered euthanasia before your visit to us?
  • Have you considered rehoming your pet before your visit to us?
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  • Have pictures or videos to upload?

     

    Upload videos and pictures here:

  • Should be Empty: