Welcome New Clients! Book today and get $25 off your first exam! *Terms Apply

Feline Behavior Form

Save time at your cat’s behavior consultation by completing our required form online.

Feline Behavior Form

Please fill out this form as completely and accurately as possible so we can get to know your cat’s behavioral needs ahead of our appointment.

Pine tree illustration
Step 1 of 6

Thank you for seeking a Veterinary Behavior Consultation with Pine Woods Animal Hospital

  • We welcome the opportunity to meet you and your pet, to help you understand their behavior and improve your human animal bond!
  • Please note that Dr. Gerevics is NOT a behavior specialist, but a general practice veterinarian with a special interest and additional training in behavior medicine. You WILL be provided with several options on how to include a behavior specialist in your pet’s treatment plan.

Preparing for Your Visit

  • Please complete the attached behavioral history questionnaire with as much detail as possible. It’s helpful to have information from more than one household member because different people may have different experiences with the pet.
  • We request that you ask your veterinarian to send us your pet’s complete medical record. Health history is a crucial piece of our assessment and influences our treatment choices, therefore, we need medical notes and lab results not just a vaccine certificate or history line items/receipts.
  • All paperwork must be complete and received to schedule an appointment, please submit by email (PWAHBehavior@gmail.com). Please note we are unable to utilize .pages documents or jpegs, only pdfs and word documents will be accepted by email. Printed documents can be scanned to a pdf using one of the many free scanning apps available on your cell phone.
  • Please note that behavioral advice cannot be given before your appointment; a doctor-patient relationship must be established first.

Scheduling and Follow Up

  • Once your paperwork is received, we will schedule an initial behavior consultation (done via phone call) and the in-hospital examination. Both portions of the consultation will be followed by a full written report within 5 business days. Please note that formal diagnosis, behavior modification recommendations, and a medical plan for your pet’s behavior problem will not be provided until after the in-hospital examination.
  • Once a plan has been finalized, a copy of all pertinent information and test results will be shared your primary care veterinarian.
  • We can make treatment plan changes (including medications, training, and management) for up to three months after your appointment. After three months any changes to the treatment plan, including medication changes, will need to be assessed at a recheck appointment. If no changes are necessary, we can continue to refill medications for up to six months following your appointment. A recheck appointment is necessary for prescription renewal after six months. This ensures that your pet will be given the best care possible. You have the option of having your primary care veterinarian take over prescription responsibilities.
  • Please alert your clinician by email when you need refills. We will arrange for refills within 72 hours. Because most pharmacies require 48 hours to process refills, please contact your clinician 5-7 days in advance to ensure there will be no gaps in your pet’s medication regimen.

Costs

  • Initial Phone Consultation (includes complimentary exam) = $165
  • Follow up Consultation = $88
  • Pre-medication bloodwork = ~$250 (+/-depending on medical concerns)
  • Sedation if needed during exam = ~$100 (+/-depending on size of pet/level of stress)

INITIAL BEHAVIOR QUESTIONNAIRE FOR CATS

Patient Info

Owner Info

Who is your regular veterinarian?

HOME ENVIRONMENT

Please list the people, including yourself, living in your household

Please have your pet’s veterinary records emailed or faxed to PineWoodsAnimal@gmail.com

Attn : Behavior Referral or (716) 695-7837

Please list all the animals in the household in the sequence they were obtained:

BACKGROUND INFORMATION

BEHAVIOR HISTORY

Please fill out the table below in regard to your cat’s primary behavior problems and other problems you would like addressed.

How have the problems progressed over time? For example, “the cat occasionally urinated on carpet at 2 years of age, but stopped using the box entirely a year later.”