Step 3 – Feline Behavior Questionnaire –
Cat Behaviorist

I/We (collectively “I” hereafter of any person present during the consultation) understand that the behavioral recommendations given by Mieshelle Nagelschneider, the clinic’s veterinarians, associates, and The Cat Behavior Clinic LLC (hereafter, collectively “The Cat Behavior Clinic” or “the Clinic”) are in no way a substitute for veterinary medical care. I understand that the Clinic provides behavioral help only and does not dispense any medical advice nor offer a medical diagnosis or recommend medications or prescription diets.I also understand that not all behavior problems can be solved, especially long term ones, and in some cases, only an improvement in the behavior may be the best outcome.I understand that my patience in applying the techniques for a period of time can vary depending on my cat’s own uniqueness and environmental circumstances.I understand that following the behavior plan for 4 or 8 weeks in no way assures 100% success and that some behavior issues take a longer period of time to eliminate or further decrease.I release the Clinic from any and all liability or legal matters including but not limited to, the health and behavior of any of my pets, personal property damage of any kind, or damages or injury to me or other persons or animals belonging to me or others due to behavior advice given by the Clinic or behavior advice not given and any legal action arising out of this agreement shall be lodged exclusively in the courts of Portland, Oregon. Should the Clinic prevail in an action brought by me, I agree to pay its attorneys’ fees and costs.I hereby authorize the Clinic to contact and retrieve my cat’s health records from my veterinarian unless I notify the Clinic otherwise.I understand that while my personal information will be kept private, my progress reports and/or pictures of my cats may be used anonymously as testimonials or case study reviews on the Clinic website unless I notify the Clinic otherwise.I understand that the Clinic provides behavior services and does not practice medicine remotely and therefore does not diagnose physical illnesses or prescribe or recommend medication (unless by our veterinarians who would need to see my cat in-person locally) and may only suggest information to be discussed solely with my own veterinarian.I understand there are no refunds once my completed Feline Behavior Intake Form is submitted (unless the Clinic determines they do not want to take my cat’s behavior case), or if I cancel or no-show for my first-time main appointment without a minimum of 72 hour notice. I understand that it’s my responsibility to schedule, reschedule, cancel, and get my questionnaire in on time and that the Clinic does not email/text appointment reminders.CONSULTATION FEE: I understand that I am paying for the Clinic’s expertise and behavior plan given to me over the phone or video and that I am instructed to take notes during the appointment and the fee I paid is for my cat behavior evaluation prior to the appointment, behavior plan preparation, and my first appointment and any remaining follow-up calls are included and no refunds given if they are unused. I understand all consultation programs by phone or video from the Clinic are $450.00 during the 8 week program provides up to 4 hours of consult time (3 or 4 appointments) and the urination/defecation consults up to 3 hours of consult time (or 3 calls) during a 4 week program time. I understand if there is a study discount during the month that I schedule, the consultation is $325.00 (for urine or defecation consults only). In-person consultations are $1200.00 and are taken on a case by case basis and the Clinic reserves the right to determine if both veterinarian and behaviorist need to present. Flight, travel, and hotel accommodations are covered by the client for the behaviorist if out of state. I understand that if I choose to not use my free follow-up appointments there are no refunds given and they can not be used past my 4 or 8 week program time or for a new behavior issue.I understand I will be charged a $125.00 fee if my allotted appointments go past my 4 week or 8 week Clinic program time because the Clinic will continue to evaluate my case.FUTURE CORRESPONDENCE FEE WITH BEHAVIORIST: I understand that I can send in updates to the Clinic at no charge for up to 4 or 8 weeks from date of initial consultation and I can request a phone follow-up of up to one-hour for $250.00, or up to 30 minutes for $125.00 for the same behavior issue for up to 90 days from my last appointment if I have used all of my initial consultation time. I understand that the Clinic behavior team CAN NOT ANSWER INDIVIDUAL EMAILS and that I must use the “Progress Report” link provided to me after the consultation to provide weekly updates and that I’m responsible for scheduling my follow-up calls. I understand there are NO REFUNDS FOR UNUSED TIME and that I must use all of my consult time within the 4 or 8 consecutive week program time I signed up for (or during a single sessions consult) for the behavior issue(s) I enlisted help for from the date of my first consultation unless an extension is granted by the Clinic.I understand that I need to give a minimum 72 hours notice to cancel or reschedule any follow-up appointment or I forfeit that appointment time and it can not be rescheduled.I understand that no refunds are given once my completed feline history from is submitted unless the Clinic determines a behavior appointment would not be helpful.I understand that my pet insurance may or many not cover services provided by the Clinic and this is not the responsibility of the Clinic and they will not refund any amount that is not covered by my pet insurance.PRIVACY: I understand that audio or video recordings of the phone or video appointments are NOT ALLOWED.Cancellation fee and processing fee: I understand that should I cancel my appointment with a minimum of 72 hours notice a 16.00 credit card or Paypal processing fee and the Clinic 16.00 refund processing fee will be deducted from my refund. I understand that if after reviewing my completed forms the Clinic determines a consultation would not be appropriate or helpful for my cat’s behavior issue, then a full refund will be given (or at the Clinic’s discretion, a free consultation may be given). I understand the Clinic requires a MINIMUM of 72 hours notice for cancelling or rescheduling your first appointment regardless of when you scheduled your appointment to receive any kind of refund and that I must notify the Clinic in writing by email instead of phone or voicemail.I understand that this Clinic agreement/release form must be signed by me (and all others that may be present during the call) in order for the behavior consultation to take place and any behavior supplemental information sent to me.I understand that the Clinic will do its very best to assist me in solving my cat’s behavior issues, but because results cannot be guaranteed and are usually dependent on owner involvement, refunds are not issued.I understand that the Clinic reserves the right to determine which behaviorist I work with for the duration of the consultation program and that veterinarians can only conduct in-person consultations in the state they are licensed or they may work remotely with my own veterinarian.I understand that I must take complete and thorough behavior plan notes during the consult and understand that the behavior plan is given verbally over the phone only and nothing will be sent in writing from the Clinic.I understand the Clinic has a 10 minute grace period for call start times if the cat owner or the behaviorist is running late and at the Clinic’s discretion, may recommend rescheduling to ensure there is adequate time to cover what is needed during the appointment.I understand the Clinic has approximately a 3 to 5 day window for returning emails.If for any reason a video consultation is not possible because of audio or video issues or poor internet connection, a phone call will need to be conducted in place of the video call, or I can reschedule the video call for a later date.I understand that the Clinic can terminate working together with me at anytime and for any reason and may send a partial refund if they see fit.I have read, understood, and comply with all of the terms and conditions above.