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Please Print this form, fill it out, and bring it to your appointment. Shaker Veterinary Hospital, P.C. 223 Maxwell Road Latham, New York 12110 Tel: (518) 4589669 Fax: (518) 4536107 www.shakervet.com
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How to fill out behavior history- canine:

01
Start by providing basic information about your dog, including their name, breed, age, and sex.
02
Describe your dog's living environment, including whether they live indoors or outdoors, any other pets they interact with, and if they have access to a yard or are walked on a leash.
03
Document any medical history or current health conditions your dog may have, as this can greatly influence their behavior.
04
Detail your dog's behavior towards familiar people, including family members and close friends. Note any aggressive or fearful behaviors, as well as any positive interactions.
05
Describe how your dog behaves around strangers, both in your home and in public places. Mention any anxiety, fear, or aggression towards unfamiliar people or animals.
06
Document your dog's behavior during walks or outings, noting any leash reactivity, pulling, or excessive barking.
07
Explain how your dog interacts with other animals, both of the same and different species. Include any issues with aggression, fear, or excessive prey drive.
08
Note any history of previous training or obedience classes your dog has had and describe their response to training methods.
09
Provide any additional information that you believe is relevant to understanding your dog's behavior, such as previous traumatic experiences or specific triggers for fear or aggression.

Who needs behavior history- canine:

01
Dog trainers or behaviorists who are working with a dog to address behavioral issues or provide training.
02
Animal shelters or rescue organizations that are assessing a dog's behavior before placing them in a new home.
03
Veterinarians who are attempting to diagnose or treat behavioral problems in dogs.
04
Potential adopters or owners who want to understand a dog's behavior and any potential challenges they may face.
05
Breeding programs that want to evaluate a dog's behavior and temperament before using them for breeding purposes.
06
Pet owners who are seeking guidance on managing or correcting their dog's behavior problems.
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Behavior history- canine is a record of a dog's past behavior, including any incidents of aggression, fear, or other behavioral issues.
Dog owners or handlers are required to file behavior history- canine.
Behavior history- canine can be filled out online or on a physical form provided by the relevant authorities. It should include details of the dog's behavior, any incidents, and any training or management techniques used.
The purpose of behavior history- canine is to ensure the safety of people and animals by helping to identify potentially dangerous dogs and providing information for appropriate training and management.
Information that must be reported on behavior history- canine includes the dog's breed, age, sex, any incidents of aggression or fear, any training received, and contact information for the owner or handler.
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