Before completing this form, please ensure you have already submitted Form No.1: Client & Animal

*mandatory

Recommended by

Name*

Address*

Email*

Telephone*

Animal Information

Pet's Name*

Microchip Number*

Type of Animal*
DogCatRabbitBirdOther

if other

Breed

Gender*
MaleFemale

Size cm (to the neck)

Weight kg

Date of Birth

Date of arrival at the home

History

Veterinary Information

Veterinarian's Name

Address

Email

Telephone

My objectives
Prepare to get a petFirst steps after getting a petEducation: basic and moreRehabilitation, behavior: solutionsPreparation for National BrevetPreparation for TMCOther

Details

TTouch can be beneficial for all animals and can respond to a wide variety of health problems, alongside appropriate veterinary care. It also works well with other methods such as acupuncture, osteopathy, physiotherapy, hydrotherapy and all that is related to the improvement / maintenance of health. It is also beneficial for aging animals, for animals that have undergone surgery and those who have lost one or more of their senses. I understand that the Tellington Method (TTouch) and / or Dr. E. Bach's method are by no means substitutes for veterinary medical care even though they may support / assist with treatment. It should be noted that certain behaviors can sometimes be linked to underlying physical pains / problems. In the event of a sudden change in the behavior of my pet companion, I will consult my veterinarian to verify without delay (and do what needs to be) before organizing any session with Julie Klein.

Consent For Services

I have supplied the required information to the best of my ability. I request that JULIE KLEIN work with my animal and release her and the owner of any location where services are provided from all liability or injuries of any nature that may be associated with these activities. I hereby confirm I hold RC insurance (assurance responsabilité civile) on which the above named animal is listed. I assume full responsibility for my pet, and any harm or damages s/he may cause during the activities/services, by taking all necessary precautions.

I accept the above Consent For Services

I certify that mandatory vaccinations are up to date

I understand that these activites/services are about working with a living being. There is therefore no guarantee, express or implied, to transform the animal named above. However, I recognize that to make improvements and to celebrate the small and large victories, my involvement and the daily application of exercises and advice is paramount.

Yes, I have read and consent to the privacy policy