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Please fill out the form below and Sara will get back to you as quickly as possible during business hours Monday-Friday to assist you.

First Name

Last Name

Code

Phone

Pet #1 Name

Pet #1 DOB (or best guess)

Pet #1 Breed (or best guess)

Is Pet #1 Male or Female?

Is Pet #1 Neutered or Spayed?

Pet #2 Name

Pet #2 DOB (or best guess)

Pet #2 Breed (or best guess)

Is Pet #2 Male or Female?

Is Pet #2 Neutered or Spayed?

What caused you to seek training or behavior consultation?

Have you particiated in any of the following?

Consulted with Trainer

Participated in Private Lessons

Participated in Group Classes

Sent Dog Away for Training

Behavior Consultant

Veterinary Behaviorist

Other

If other, please describe:

How has your pet responded to what you have tried so far?

Has your pet ever bitten or attempted to bite a human?

Yes

Has your pet ever bitten or attempted to bite a dog?

Yes

Veterinarian Name or Clinic Name

Veterinarian Email

When did your pet last see the veterinarian?

Veterinarian Phone

Have you discussed your pets behavior or desire for training with your pet's veterinarian?

Yes

May we contact your veterinarian to let them know that we may be working together, and provide them with information regarding training or behavioral care provided by Sara Richter, CDBC?

Yes

I want to subscribe to receive email updates regarding services, behavior and training tips, events & more.

I agree to the terms & conditionsView terms.

Thanks! Sara will reach out after reviewing your information.

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