Step One
Initial Intake Form
After you complete the intake form, you will be able to book your phone consultation directly online. Payment is required at the time of booking. This is a 2 Step process. Your submission form will not be saved if you close the website before completing Step 2. The entire process normally takes 10-15 minutes. Thank You!
Personal Information
First Name
Last Name
What is your email address?
What is the best phone number to contact you?
Where are you located? Please enter your address.
Household Information
What is the name, age and species of other pets in the home. Write N/A or NONE if none.
Are there children in the home? If so, what are their ages?
What are the names and ages of the adults in the home?
Case Information
DOG DETAILS AND BITE HISTORY
What is the name and age of the dog you are requesting services for?
Has your dog ever bitten a human, dog or other animal? Write YES or NO.
If yes, please describe in detail.
TRAINING NEEDS AND HISTORY
Please tell me about your training needs.
How long has your dog behaved this way?
What have you tried so far to prevent or stop the problem behavior?
MEDICATION AND NUTRITION
Is your dog on medication for behavior problems? Write YES or NO.
If yes, what medication and for how long?
What does your dog eat? Are there any dietary restrictions for your dog?
SUMMARY
Is there anything else I should know about you, your dog or the behavior of your dog?
How did you hear about Bridge the Bark?
After submitting your form, you will be directed to booking your phone consultation online.