Feline History Form

Please answer the following questions below. Detailed information is critical for Dr. Rigterink to diagnose and recommend a treatment program. This form should be sent to Veterinary Behavior of Indiana at least 7 days before your appointment. Please allow at least 20 minutes to complete the history form.

If you would prefer to download and fill out the form at home, please click here. Please then submit your completed form to info@indianavetbehavior.com.

Behavior Problem
Cat's Background
Elimination Behavior
What types of pans (indicate number)?
Diet and Feeding
Home Environment
Social Behavior
Medical History
Click or drag a file to this area to upload.

Please note: Your behavior history form was uploaded to the Veterinary Behavior of Indiana's email address once you get a confirmation page with a picture of a large dog.