TELECONSULTING

Options To Suit You and Your Clients

Are you managing a veterinary behavior case and would like some assistance?  Feeling a little in over your head?

While not the same as a consultation directly with us, teleconsulting can help clients who:

  • live too far to benefit from our services in person

  • are waiting for an appointment with us

  • you feel like you can largely manage on your own, but would like a little support

  • or those that probably need us but are simply not ready to come see us yet.  

Happy pets.  Happy vets.

Please note, that all recommendations are to the doctor on the case - information relayed to the client is ultimately the primary care veterinarian's responsibility.  Look over the recommendations and decide what is best for your patient.  If you have concerns or questions about a recommendation, please do not hesitate to reach out.  With all of these teleconsults, our team does not dispense medical advice directly to the client nor prescribes medications. 

Fees are charged directly to the clinic.  

Please note, teleconsulting is only available for our feline and canine patients at this time. 

 

Urgent appointments can be arranged.  

Could use something else from us?  Just let us know!

The No Fuss Teleconsult

Get answers faster.

A 20 minute phone teleconsult

for a quick, practical way to run through your case with an expert.

 

The No Fuss Phone Teleconsult

This quick consult is designed to be a no fuss, efficient way for you and your client to get some tips to help move the patient in the right direction.  In this 20 minute phone appointment, you round us on the case and we give you whatever feedback we can in the time allotted to help you move the case forward.  Follow up phone appointments can be scheduled as needed as new information is obtained.  Appointments can generally be scheduled within the week so are perfect for urgent situations.

Helpful checklist of information to have on hand before these appointments:

  • Signalment 

  • Presenting complaint

  • Description of events or representative event, including body language, who is present, who behavior is directed at, when events occur, triggers, etc.

  • The names of any trainers involved, if applicable

  • Underlying medical conditions/PE results

  • Current medications

  • Diagnostics performed and important results

  • Treatments already trialed

Click here for a downloadable Teleconsult History Prep Sheet for your convenience. 

$60

 

The Multimedia Combo Teleconsult

This multimedia consult is designed to provide a more comprehensive view of the patient.   We ask you to send us the below information at least 3 days prior to the phone consult.  We review all this information in advance of the appointment.  The phone conversation is used to clarify details and make verbal recommendations.  These teleconsults will be followed up with a written report including any relevant handouts.  

Items to be sent at least 3 days prior to the consult:

  • Teleconsult Client Questionnaire filled out by the client.

  • Teleconsult Vet Questionnaire filled out by you. 

  • Your full medical record/any specialist's medical records that may be relevant - include labwork results and any other diagnostics

  • 3-5 short (<3 minute) videos demonstrating the behavior problem +/- a tour of the environment it occurs in uploaded to a personalized Dropbox folder for your patient. The videos should each be labeled with the patients first and last name so we know who its for.  Please instruct clients that aggressive episodes should not be incited or prolonged just to get a video.

  • Any notes/homework assignments from any trainers involved, if applicable.

$150

 

The E-consult

This email teleconsult allows our doctor to receive the background info needed and for you to get a written report without committing to the Multimedia Combo Teleconsult.  Once we receive all of the following items, we will review the case and send back a report with recommendations within the week.

Required items:

  • Teleconsult Client Questionnaire filled out by the client.

  • Teleconsult Vet Questionnaire filled out by you. 

  • Your full medical record/any specialist's medical records that may be relevant - include labwork results and any other diagnostics

  • 3-5 short (<3 minute) videos demonstrating the behavior problem +/- a tour of the environment it occurs in uploaded to a personalized Dropbox folder for your patient. The videos should each be labeled with the patients first and last name so we know who its for.  Please instruct clients that aggressive episodes should not be incited or prolonged just to get a video.

  • Any notes/homework assignments from any trainers involved, if applicable.

  • Any information you believe is important to share.

$90

Note, after the background information is reviewed, if the doctor strongly feels a Multimedia Combo Teleconsult is in order, we will inform you and give you the opportunity for your client to upgrade.

 

Frequently Asked Questions

Q: Which consult should I choose for my patient?

The "No Fuss" Teleconsult Option is great for:

  • When you have a handle on the case overall you just need a little guidance or have some quesitons


The "E-consult" is great for:

  • If its too difficult to coordinate a chat by phone doctor-to-doctor, our lives are busy!

  • If there are trainer notes that you want me to review directly

  • The case seems relatively standard but you would really value having a written report

  • You or the client wants videos reviewed

  • You don't have a clear understanding of the patient's body language during problematic times

  • You are having trouble collecting or have limited time to collect history from the client and would rather they directly answer our questions on the form


The "Multimedia Combo" consult is great for:

  • All the things the "E-consult" is great for plus you think it would be valuable to have some conversation

  • Complicated or multi-problem cases

  • Problems involving multiple pets in the same household (e.g. household interdog aggression or intercat aggression)

  • Distance cases that do not and will not have access to a veterinary behaviorist if needed

Q: Do we have to offer all these options to a client?  

A:  Absolutely not.  Offer what works for you, your practice and what you think might be best for the case. The multiple options are designed so that you can tailor the service to what you need. 

Q: For the No Fuss Teleconsult, what kind of information should I collect before we speak so I can get the most out of this?

A:  The general list of information to have on hand includes:

  • Signalment

  • Presenting complaint

  • Description of events or representative event, including body language, who is present, who behavior is directed at, when events occur, triggers, etc.

  • The names of any trainers involved, if applicable

  • Underlying medical conditions/PE results

  • Current medications

  • Diagnostics performed and important results

  • Treatments already trialed

For a downloadable history form to guide your questioning, click here

Q: I've looked at the info - for the E-consult and Multimedia Combo consult, what am I as the veterinarian responsible for?

A:  Payment, sending over the full MR and filling out this form: Teleconsult Vet Questionnaire 

Q: And what is the client responsible for?:

A: They have the harder job.

  1. Filling out this form: Teleconsult Client Questionnaire 

  2. Submitting 3-5 short (<3 minute) videos demonstrating the behavior problem +/- a tour of the environment it occurs in.  The videos should each be labeled with the patients first and last name so we know who its for.  Please instruct clients that aggressive episodes should not be incited or prolonged just to get a video.  These should be uploaded to a personalized Dropbox folder for the patient.  To request access to their personalized Dropbox folder, have the client click: Dropbox folder.

  3. Any notes/homework assignments from any trainers involved, if applicable.  Emailed over to info@vetbehaviorcenter.com is great. 


Q: My patient is in urgent need of help.  In what timeline can this happen?

A: Barring vacations/holidays, generally we can get you the help you need within the week.  If additional urgency is needed, let us know and we will do what we can.  We are here to help you!  For the No Fuss Teleconsult and the Mulitmedia Combo consult, call as soon as you know you are interested so we can schedule a time. 

Q: For the Mulitmedia Combo consult when do we need to submit all the documentation and when do we get the report back?

A:  For the Multimedia Combo Consult, it is best if all the documentation can be submitted at least three days prior to the scheduled appointment.  Reports are returned within 2 business days of the scheduled phone conversation.

Q:  For the E-consult, since we aren't scheduling an appointment, how do we start the process and when do we get the report back?

A: For the E-consult, your Teleconsult Vet Questionnaire or the Teleconsult Client Questionnaire initiates the process.  Once we receive either of these, we will be keeping an eye out for all the other documentation.  Feel free to drop us a line too if you would like!  If we do not receive all the necessary documentation (from the clinic and the client) within 2 weeks of receiving the first questionnaire then we will gladly reach out to you and let you know what we are missing so we can sort out if it is still on its way and determine if we should proceed without it.   Once we receive all documentation (or decide we will proceed without certain information), then we will return the report within 2 business days.  
 

Q: How does charging work?

 

A: Fees are charged directly to the clinic and then you can turn around and charge your client whatever your practice decides compensates for your time as well.  The easiest approach is for us to collect credit card information with your first teleconsult then we are able to store a reference to the card on file for future charging so its simple each time thereafter.  We can collect this card info at the time of the first consult if the doctor has access to it, or we can contact the appropriate manager in your clinic before or after the appointment.  For E-consults, when you are submitting your forms you can call us with the information or we can reach out to you when the consult is initiated.  Payment does need to be collected before we can generate a report. 

 

Q:  How much should we charge our clients?

 

A: Pricing is up to each clinic.  One common approach is to tack on an additional fee equivalent to the amount of doctor time spent engaging in the teleconsult.  The history forms associated with the E-consult and Multimedia Combo consult and reviewing the report likely will take around 15-30 minutes total for the average case.  For all of the consults, there is the time associated with collecting history and communicating the treatment plan to the client (which is communication time you may have had anyway).  Some clinics choose to tack on the equivalent of their appointment fee as an easy guesstimate.  Some clinics also schedule appointments to collect the necessary history and/or to discuss the plan after the consult.  Let us know what works well for you because we are always curious to hear!

 

Q:  What kind of follow up is included in case something is not going well or we have additional questions?

 

A: Each consult includes 14 days of email communication directly vet-to-vet for anything that may come up.  For complicated cases, some people are choosing to use the "No Fuss Teleconsult" option as a way to schedule follow up after an initial teleconsult for ongoing support.  

 

Q:  What you recommended is not working!  What do we do??!

 

A:  Treatment success is not guaranteed.  Behavioral medicine commonly involves treatment trials, tweaking plans and troubleshooting.  Sometimes our plans are simple and sometimes they are complicated and interdependent, depending on the severity of the case and capacity of the clients.  Medications work in combination with management and behavioral therapies to effect change and if one piece of the puzzle isn't succeeding then we can see lack of progress.  Behavioral plans often require clients to adjust elements of how they interact with their pet or run their lives.  "Buy in" from the clients to get on board with plans and the establishment of appropriate expectations is sometimes best achieved with the in person connection we are able to build during appointments.  Not all patients respond to treatments the same.   We do our best to provide you with straight forward advice and options when needed based off the information we have at the time of the consult.  If something is not working, the case may need direct individualized attention and we recommend they come in for an assessment. 

 

Q. What if I choose a consult service type and after your review of the information you feel it was not the correct consult type for the patient?  Can we switch?

 

A: If after reviewing documentation for an E-consult or discussion via No Fuss Teleconsult it becomes apparent that the patient needs more support, then the opportunity will be provided to upgrade to a Multimedia Combo consult.  If an in person assessment is really what is needed, the doctor will dispense whatever recommendations she can to help the patient within the confines of whatever consult service has been pursued and will communicate with you the recommendation for a full assessment. 

 

Q. What kind of contact does Dr. Fagen have with the client?

 

A. The client submits relevant materials for the E-consult and Multimedia Combo consults and reviews the information.  Our doctors do not communicate any medical advice back to the client.  All communications are directly with the veterinarian.  All recommendations are directly to the veterinarian, not to the client. 

 

Q:  What responsibility do I have as a veterinarian seeking out this teleconsult service?

 

A:  The veterinarian managing the case has the VCPR, we do not - we do not know these pets personally and do not understand the particulars of the family situation as well as you do.  You may know details that we do not.  It is the veterinarian's responsibility to take the recommendations we provide and use their best professional judgment in making recommendations to the client.  Recommendations are not intended to be comprehensive.  It is the expectation that if a veterinarian is unfamiliar or uncomfortable with a treatment that they would do their own due diligence to understand the treatment better.  For example, not all contraindications, doses, side effects, common misapplications or details of a treatment may be covered.  We are not present to ensure communication of all risks and relevant information is occuring with a client.  As a result, we are not liable for any outcomes, use or misuse of our recommendations.  

The Veterinary Behavior Center

Phone: (303) 536-1802

Info@vetbehaviorcenter.com

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Humane Society of Boulder Valley

2323 55th St

Boulder, CO 80301

Boulder Road Veterinary Specialists

2000 W. South Boulder Rd.

Lafayette, CO 80026

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