VETERINARY REFERRAL/DELEGATION FORM
FOR BEHAVIOUR CASES
Vet practices: For new referrals "from cold", please could you 1) email me to check availability prior to sending a referral form; & 2) request clients email me directly once the form is sent (to arrange logistics & ensure I have their contact details). Thanks!
→ → → Access Referral/Delegation Form for Animal Behaviour Cases via this link.
(This form has been adapted and modified form the Companion Animal Behaviour Therapy Study Group [CABTSG*] and was produced and approved after consultation with the Royal College of Veterinary Surgeons [RCVS])
Note: should you wish to complete this in stages, you can save your progress & return to this form by clicking "save".
(You can also save it as a PDF for the patient's records.)
Prior to your client's initial appointment,they may find this information helpful - please feel free to share it with them.
Some resources to help support you - please find advice on behavioural first aid in advance of a referral here, and cats here, as well as some guidance on the veterinary approach to behaviour cases here. For further reading on pain, health & behaviour, please see resources below.
For your information, pricing is here.
Please note: This form is for veterinary professionals' use ONLY.
By proceeding & using this form, you confirm that you are a Veterinary Surgeon.
(If you are not, please close this page, & do not access the form - thanks!)
*“Behaviour problems may arise both directly and indirectly as a result of concurrent or previous medical problems. Veterinary involvement is therefore essential in eliminating organic causes of the problem and prioritising the diagnostic and treatment strategy to be used in any given case. In order to safeguard the welfare of your patient and indicate your approval of referral, please complete the following form. Please note that until a case is released to another veterinary surgeon then you, as the client’s normal veterinary surgeon, remain responsible for the treatment, advice and any prescriptions given.” CABTSG.
- For further reading on pain, health & behaviour, please see also this 2020 paper by Mills, et al.
- Behaviour changes associated with metabolic disease of cats & dogs (Radosta, 2023)
- And, information on the RCVS Code of Conduct's advice on referral/delegation.
If you have questions, please just reach out: linda@inspiringpets.com - I shall be happy to help.
For more info on Inspiring Pet Teaching, please visit www.inspiringpets.com, and like/follow our Facebook +/- Insta pages.
Dear veterinary colleague,
Thank you for referring/delegating this case for behavioural assessment, management +/- modification/training.
I am happy to collaborate with you and the practice team in any way that is beneficial for our mutual client, both in my capacity as Veterinary Technician Specialist in Behaviour, ASAB-accredited Certificated Clinical Animal Behaviourist for cats & dogs, and as an RVN. I commit to always seeking input from you as/when appropriate; using only kind, ethical, positive and evidence-based methods of behaviour change in animals; treating our mutual clients with respect & care; and never outstepping my remit or professional capabilities. I will communicate with you re-this case following the first meeting with the client and pet, and continue to update you thereafter. Please do not hesitate to contact me regarding this case.
CCAB Dog Behaviourist, dog trainer CCAB