Behavior Service Forms

Pre-Appointment Questionnaires

beagle

Dog Questionnaire

Prior to scheduling an appointment for your dog's behavior issue, please download and fill out the Dog Questionnaire.

cat playing with tin cans

Cat Questionnaire

Prior to scheduling an appointment for your dog's behavior issue, please download and fill out the CAT Questionnaire

birds on a branch

Other Species of Pet

If you require a questionnaire in order to make an appointment for a bird, rabbit, horse or pig, submit your request.

Ask Your Primary Veterinarian for Medical Records

We have created a sample email you can send your primary veterinarian's office requesting the medical records we need for your appointment with the Behavior Service. Go to the sample and copy and paste it or use the information to call and request records for your pet to be sent to us.

  • Copy the sample email below replacing the placeholders with your own information and send it to your veterinarian's office to request the medical records we need prior to your appointment with the Behavior Service.


    Dear Dr. {veterinarian's name}

    I am making an appointment with the Behavior Service at Cummings Veterinary Medical Center at Tufts University in Grafton, MA for {pet's name}. Tufts need the last 6 months (or as appropriate) of medical records. Please contact them if you have any questions about what to include or for exceptions.

    These records should include:

    • Complete blood count, biochemistry profile and urinalysis
    • Weight and body condition scores
    • Additional relevant diagnostics (e.g. urine culture, T4, echocardiography, ultrasound reports)

    You may submit the records electronically here or they can be emailed to liasons@tufts.edu (please include reference to {pet's name}'s upcoming appointment when emailing).

    Thank you,

Form For Referring Veterinarians

vet with dog

This form is for veterinarians and their practices to submit medical records only in regard to consultations and appointments with the Behavior Service. This form should be filled out by a veterinarian (or employee of the veterinarian) who is or has managed the pet’s current health concerns.

This form should NOT be filled out by the pet owner.

 Fill Out Referring Veterinarian Form