Lincoln Land Animal Clinic, Ltd

1150 Tendick
Jacksonville, IL 62650

(217)245-9508

lincolnlandac.com

You can assist us to expedite your check in by submitting the appropriate form from the list below.  All forms are in pdf format so they are fillable and may be submitted electronically.  

If you have Adobe Acrobat XI, simply download the appropriate form and fill it in.  If you have the Adobe Acrobat Reader only, you will need to download the newer version of Adobe as stated above. This is a free download.  

If you have a Mac you can use preview (a program that comes with your Mac computer) to fill out the forms.

Alternatively, you may download the forms as Word documents. The word documents have drop down lists and are best suited to be completed on your computer.

After your form is completed, you may submit it to:
llanimalclinic@yahoo.com if your behavior consult is at Lincoln Land Animal Clinic, ltd. OR
mucvmbehavior@missouri.edu if your behavior consult is at the Mizzou Cancer Care Clinic in Wentzville, MO

If you are going to complete the form by hand please download the pdf version as the drop down boxes have been converted to check boxes. .  For handwritten behavior forms, please submit by fax, mail, or scan as the doctor will need the information prior to your appointment.

If you have any problems downloading or filling out the forms please do not hesitate to call as we will be happy to assist you. Thank you.


File NameDescription / Comment
Behavior Consult Checklist Lincoln Land Animal CliThis convenient checklist will enable you to complete your questionnaire and help you prepare for your pet's behavioral consult.
Behavior Consult Checklist MizzouThis convenient checklist will enable you to complete your questionnaire and help prepare for you pet's behavior consult.
Behavior Questionnaire- Cat pdf Lincoln Land AnimaThis form can be filled out on your computer, or printed off. The drop boxes on the word document have been converted to check boxes on this form.
Behavior Questionnaire- Cat pdf MizzouThis form can be filled out on your computer, or printed off. The drop boxes on the word document have been converted to check boxes on this form.
Behavior Questionnaire- Cat word Lincoln Land AnimPlease download this form and return it to the office at least 48 (72 hours is best) prior to your pet's behavior consultation. This version was designed to be downloaded and completed on your computer. In addition please review the Behavior Consult Checklist and Referring Veterinarian Form.
Behavior Questionnaire- Cat word MizzouPlease download this form and return it to the office at least 48 (72 hours is best) prior to your pet's behavior consultation. This version was designed to be downloaded and completed on your computer. In addition please review the Behavior Consult Checklist and Referring Veterinarian Form.
Behavior Questionnaire- Horse wordPlease download this form and return it to the office at least 48 (72 hours is best) prior to your pet's behavior consultation. In addition please review the Behavior Consult Checklist and Referring Veterinarian Form.
Behavior Questionnaire- Horse pdf
Behavior Questionnaire-Dog pdf Lincoln Land AnimalThis version can be filled out on your computer of printed off. The drop boxes on the word document have been converted to check boxes on this form.
Behavior Questionnaire-Dog pdf MizzouThis version can be filled out on your computer of printed off. The drop boxes on the word document have been converted to check boxes on this form.
Behavior Questionnaire-Dog word Lincoln Land AnimaPlease download this form and return it to the office at least 48 (72 hours is best) prior to your pet's behavior consultation. This version was designed to be downloaded and completed on your computer. In addition please review the Behavior Consult Checklist and Referring Veterinarian Form.
Behavior Questionnaire-Dog word MizzouPlease download this form and return it to the office at least 48 (72 hours is best) prior to your pet's behavior consultation. This version was designed to be downloaded and completed on your computer. In addition please review the Behavior Consult Checklist and Referring Veterinarian Form.
Behavior Questionnaire-LLAC Recheck Form all speciBehavior recheck form for all species- to be seen at Lincoln Land Animal Clinic, Ltd. Word form
Behavior Questionnaire-LLAC Recheck Form all speci
Behavior Questionnaire-MU Recheck Form all speciesPlease fill out this form and return it prior to your recheck behavior appointment.
Behavior Questionnaire-MU-Recheck Form all species
Behavior Referring Veterinarian Form- wordIf you are a referring veterinarian please fill out this form and submit it prior to your client's consultation. If you are an owner please have your veterinarian complete this form prior to your consult.
Behavior Referring Veterinarian Form-pdf