Health Incident Report

This form is anonymous, and will only be used to keep Bichon Frise owners informed of current health problems in the breed.  Maintaining an accurate database of the prevalence of diseases in Bichons will be useful in prioritizing health research funds, and for developing disease prevention strategies.  The Bichon Frise Club of America (BFCA) greatly appreciates your assistance in obtaining this data, and thanks you in advance for responding.  You might ask your veterinarian for assistance, who will no doubt understand the importance of this data for dogs in general, as well as the Bichon Frise.

Please fill out the following information and press the “Send it to BFCA Health!” button.  If you would like a response, include your email address in the beginning.  Including your name is optional.

Registered Name of Dog