Intake Behavior Consult Form Intake Behavior Consult Form Behavior services from Dr Sally J Foote Dr Foote is now scheduling her behavior consultations through her Bella Behavior services. Watch for an email from her (firstname.lastname@example.org) in the next 3 business days after receipt of the form below. All consults are via video chat using facetime ( I phone, I pad ) or skype ( lap top, android tablet or phone) Your name * Partner name * Pet name * Pet type * DogCat Age * Email address * Phone number * Address * Do you have high speed internet? * YesNo Have you used Skype, Facetime, or Whats App before? * YesNo Behavior problems * Any bites or near bites * YesNo Any property destruction? * YesNo Injury from your pet because of behavior problem? * How did you hear about Dr. Foote? * Who is your veterinarian / clinic? * Last examination at veterinary clinic? * Behavior consultations are scheduled for Tuesday afternoon/ evenings, or Saturdays. The cost is $180/hour with a $60.00 non refundable deposit to hold the appointment. The deposit can be credited to your appointment if you need to reschedule.