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/telephone call.

General Information

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!)