K9 Rec Center History Form

Prior to your appointment with our Rehabilitation and Integrative Medicine Department, please complete and submit the following form. Thank you and we look forward to seeing you at your upcoming appointment.

  • General Background

  • Examples: guide dog, field trial, agility, patrol, detection, etc.
  • Examples: pup, in training, active, retired, etc.
  • Examples: cooperative, avoidant, indifferent, defensive, offensive, etc.
  • Examples: toy, praise, food, etc.
  • Medical History

  • If yes, please list type and general date.
  • Examples: jumps, climbing, diving, etc.
  • IF CLICKING SUBMIT BUTTON BELOW DOES NOT DISPLAY SUBMISSION SUCCESSFUL, PLEASE SCROLL UP, CORRECT ANY FIELDS HIGHLIGHTED IN RED, AND TRY AGAIN.

×

COVID-19 Service Announcement Learn more