Session Request Form | Karen Bachell | Scotland

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Book a separation anxiety session package

Let's get started...

Booking process -

Please fill out the form below, when submitted this will be emailed directly to me.

I will be in touch with appointment suggestions for your sessions.

Once mutually suitable days/times have been agreed payment options will be sent to you (bank transfer, Paypal or credit/debit card). Full payment is due within 48 hours to secure your appointment slots.

When payment has been received you will receive a confirmation email with all the details regarding your sessions (e.g. Zoom call links, what to do, what to prepare etc.) and I will get in touch with your Vet to arrange a referral.

Please read the terms and conditions (click here to view). In proceeding to use my services you are accepting the full terms without variation.

Title (Mr/Ms/Miss/Mrs/Dr)

Full name

What do you prefer to be called?

Email

Phone number (ideally mobile)

Address, including postcode

Dog's name

Dog's breed, mix or cross

Dog's age

Dog's sex

Is your dog neutered?

Yes

No

For females dogs who had or are having seasons, what where the dates of her season(s)?

On average, how long did her seasons last?

What age was your dog when you acquired them?

Where did you acquire your dog from (e.g. breeder, private re-home, rescue etc.)?

Please list the people (including age for under 20s only) and any other animals in your household.

What Veterinary Surgery is your dog registered at?

What is your Veterinary Surgery's phone number?

Is or could your dog be registered under a different surname/address at your Veterinary Surgery? If yes, what are the different details?

Does your dog have any health conditions? If yes, are they on any medications?

Have your spoken to your vet about your dog's separation issues?

I agree for Pet Behaviour Consulting to contact my Vet to request a clinical history and referral form (if working on behavioural issues).

I understand that we cannot start our sessions until a Veterinary referral has been received. If this occurs our session will be postponed (if working on behavioural issues).

I agree that Pet Behaviour Consulting can share information with my Vet to keep them up-to-date on my dog's training plan, progress and completion (if working on behavioural issues).

What package would you like to book?

4 week support package

8 week support package

Do you know what your dog does if left alone? If yes, please give details.

When did the behaviour first occur?

Please list what enrichment and exercise your dog gets everyday.

How long is your dog left alone at the moment?

For separation anxiety training to work, you really would need to find a way to stop leaving your dog. How do you feel about that?

I'm already doing that, my dog is never left alone

Might be do-able

That's unrealistic

What other training have you done to address your dog's separation anxiety?

What days/times suit you best for a Zoom call (you can select multiple options)?

Monday am

Monday pm

Tuesday am

Tuesday pm

Wednesday am

Wednesday pm

Thursday am

Thursday pm

Friday am

Are there any times that suit you best (e.g. after 10am, before 3pm, etc.)?

Do you have any additional needs which you wish to make me aware of or that I can accommodate?

Would you like to receive our newsletter, full of free training tips?

Yes please!

No thanks

How would you like to receive appointment reminders?

Text

Email

Where did you hear about Pet Behaviour Consulting?

I accept Pet Behaviour Consulting's session terms and conditions(click here to view).

I accept Pet Behaviour Consulting's privacy policy(click here to view).

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The Dull Details

Karen Bachell

Clinical Animal Behaviourist (ABTC)
Full Member Association of Pet Behaviour Counsellors (APBC)
Registered Veterinary Nurse

© 2022 Pet Behaviour Consulting.

All rights reserved.

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