Equine Behavior History Form

Animal Behavior Consultants of Northern Michigan
Dr. Katherine A. Houpt
Phone: (989) 448-8083
web: http://abcofnm.com
email: kah@abcofnm.com

Please answer the following questions and submit this form. We shall then call to arrange an appointment. Specific questions about the problem behavior(s) will be asked during your visit.

General Information

* Indicates required field

Who is your regular veterinarian:

Main Behavior Problem

Horse's Environment

Early History

Education

Other Behavior Problems










Physical History

(End of questionnaire, please submit - thank you!)