Online Shop
Small Animal Emergencies
Equine Emergencies
Video Vet
Menu
Rufford Vets's home page
Call us
Companion Animal Emergencies
01253 501185
Equine Emergencies
07977714095
Rufford
01704 821204
Southport
01704 214460
Tarleton
01772 954770
Oakvilla
01704 821 204
Book an Appointment
Open contact us menu
About Us
About Us
Small Animal Team
Equine Team
Blog
Careers
Offers
Small Animal
Emergency services
Advice
Cat Behaviour History Form
Post Operative Care
Dog Behaviour History Form
Pre-Operative Pet Care
Routine Care Advice
Insurance
Pet Nutrition
Pet Bereavement & Cremation Services
Pet Travel Advice
Pet vaccinations
Pet wellness screening
Services
Nurse Clinics
Dog Anxiety Awareness
CarefreeCredit
Equine
Equine Emergencies
Equine Facilities
Equine Services
Insurance
Equine Insurance Guide
Your Guide to Insurance Claims
Worm Egg Count Form
Equine Health Plan
Pet Health Club®
Pay Online
Contact Us
Out of Hours
Book an Appointment
Dog Behaviour History Form
Select a surgery:
Please Select
Rufford
Southport
Tarleton
Oakvilla
Select a surgery:
Rufford
Southport
Tarleton
Oakvilla
First Name:
Surname:
Address:
Contact Phone Number at Time of Appointment:
Email Address:
Species:
Breed:
Your Pet's Colour:
Age:
Gender:
Male
Female
Is Your Pet Neutered?:
Yes
No
Date acquired dog:
Calendar
Where was the dog from?:
Were the parents seen?:
Knowledge of Siblings?:
How was the pup in the first few weeks?:
Exposure to people/other dogs in the first 4 months of life?:
Diet
What type of food does the dog eat?:
Dry
Wet
Name of Food?:
How often is the dog fed?:
Is the dog food orientated?:
Is there any particular food the dog enjoys?:
Exercise
How often is the dog walked?:
How much of this is off lead?:
Does the dog recall easily?:
Yes
No
Does the dog enjoy walks?:
Yes
No
General Health
Vomiting?:
Yes
No
Diarrhoea?:
Yes
No
How often does the dog pass faeces?:
Does it eat its own faeces?:
Does it eat much grass/plant material?:
Stomach grumbling?:
Yes
No
Flatulence?:
Yes
No
Excessive stretching?:
Yes
No
Excessive yawning?:
Yes
No
Does the dog eat unusual food items?:
Itchy Skin?:
Yes
No
Skin Lesions?:
Yes
No
Sore eyes/ears?:
Yes
No
Anal gland problems?:
Yes
No
Lameness?:
Yes
No
When did your dog reach puberty?:
Females - Age at first season / Males - age he started cocking his leg up to urinate
What age were they neutered?:
Females
Any signs of false pregnancy?:
Any changes in behaviour before/during seasons?:
Regular seasons?:
Yes
No
Males
Any mounting/humping?:
Yes
No
Any urine marking?:
Yes
No
Roaming/Searching for females?:
Yes
No
Behaviour around other males?:
Any change in behaviour after neutering?:
Home Environment
Type of house?:
Is there a garden?:
Yes
No
Is the garden secure?:
Yes
No
N/A
Is the dog happy to be left in the garden alone?:
Yes
No
N/A
Family Members
Adults:
Children (including ages)?:
Other pets?:
Including name, species, breed, age, date acquired, sex and affinity with the dog
Possessiveness with Humans
Over the dog's own food?:
Yes
No
Over toys?:
Yes
No
Can the dog be approached on its bed or when sleeping?:
Yes
No
Can stolen items be taken off the dog?:
Yes
No
Is the dog aggressive when it has treats/chews?:
Yes
No
Does the dog react aggressively to grooming/drying/moving?:
Yes
No
Does it react aggressively to being told off?:
Yes
No
Is the dog keen to please?:
Yes
No
Does the dog pull on the lead?:
Yes
No
Do you use anything for pulling?:
Does the dog know a range of obedience commands?:
What kind of games does the dog play (by itself or with owner)?:
How does the dog interact with other dogs on a walk?:
How does the dog interact with unfamiliar people coming to the house?:
How does the dog interact with unfamiliar people outside?:
Is the dog toilet trained?:
Yes
No
Can the dog cope with being left alone?:
Yes
No
How well does the dog cope with travelling in the car?:
Does it bark at anyone from the car?:
Yes
No
Will it allow unfamiliar people to travel in the car?:
Yes
No
Does the dog have ‘mood swings’?:
Yes
No
Is the dog frightened of noises?:
Yes
No
Is the dog spooked by unusual objects (plastic bags/leaves/traffic cones)?:
Is the dog allowed on furniture?:
Yes
No
If yes, does it get off readily when asked?:
Where does the dog sleep?:
Does the dog sleep well?:
Current Problem
Concerns:
Onset:
What has already been tried?:
Security Question:
I have read and agreed to the
privacy notice
:
Practice information
Rufford
Contact
Opening Hours
Find Us
Back
Mon
8:00am - 7:00pm
Tue
8:00am - 7:00pm
Wed
8:00am - 7:00pm
Thu
8:00am - 7:00pm
Fri
8:00am - 7:00pm
Sat
Closed
Sun
8:00am - 4:00pm
Back
Find us here:
9 Holly Lane Rufford Ormskirk L40 1SH
get directions
with Google Maps
Southport
Contact
Opening Hours
Find Us
Back
Mon
8:00am - 7:00pm
Tue
8:00am - 7:00pm
Wed
8:00am - 7:00pm
Thu
8:00am - 7:00pm
Fri
8:00am - 7:00pm
Sat
8:00am - 1:00pm
Sun
Closed
Back
Find us here:
127 Wennington Road Southport Merseyside PR9 7AH
get directions
with Google Maps
Tarleton
Contact
Opening Hours
Find Us
Back
Mon
9:00am - 4:30pm
Tue
9:00am - 4:30pm
Wed
9:00am - 4:30pm
Thu
9:00am - 4:30pm
Fri
9:00am - 2:00pm
Sat
Closed
Sun
Closed
Back
Find us here:
63a Church Road Tarleton Preston Lancashire PR4 6UQ
get directions
with Google Maps
Oakvilla
Contact
Opening Hours
Find Us
Back
Mon
Closed
Tue
Closed
Wed
Closed
Thu
Closed
Fri
Closed
Sat
Closed
Sun
Closed
Back
Find us here:
Holmeswood Road Rufford Ormskirk Lancashire L40 1TZ
get directions
with Google Maps
Back
Menu
About Us
About Us
Small Animal Team
Equine Team
Blog
Careers
Offers
Small Animal
Emergency services
Advice
Cat Behaviour History Form
Post Operative Care
Dog Behaviour History Form
Pre-Operative Pet Care
Routine Care Advice
Insurance
Pet Nutrition
Pet Bereavement & Cremation Services
Pet Travel Advice
Pet vaccinations
Pet wellness screening
Services
Nurse Clinics
Dog Anxiety Awareness
CarefreeCredit
Equine
Equine Emergencies
Equine Facilities
Equine Services
Insurance
Equine Insurance Guide
Your Guide to Insurance Claims
Worm Egg Count Form
Equine Health Plan
Pet Health Club®
Pay Online
Contact Us
Out of Hours
Book an Appointment
Online Shop
Small Animal Emergencies
Equine Emergencies
Video Vet