Surveys and Reports

Report The Death Of Your Bichon

The Bichon Frise Club of America (BFCA) offers our sympathy for the loss of your beloved Bichon Frise.  When you feel comfortable enough with your grief, please complete this report.  To assist you with your grieving process, go to http://rainbowsbridge.com/Grief_Support_Center/Grief_Support_Home.htm

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.  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.


Your Name: 
Email Address: 
Registered Name of Dog:
Registered Name of Sire:
Registered Name of Dam:
Male      Female       Spayed/Neutered:    Yes   No
Age at time of death         Euthanized  Yes  No      
Date of Death:

If you wish to provide a pedigree or a copy of the registration papers, that information can be helpful in research and will be kept confidential by the health committee, being used only in the event of a professional research project requiring such information for genetic studies. If you have any questions or need advice, indicate so in the comment box and include your email address.

You may add other generations by listing their registered names in order as they appear on the pedigree of your dog: (1000 char max)


Medical History
 
What was the cause of death of your Bichon Frise, if known?
Please list any health problems in the past for this dog: (1000 char max)
Have you previously completed a Health Survey form or Health Incident Form
for this Bichon Frise on this web site?
Yes   No      Approximate date submitted

Nutrition
 
What food were you feeding your Bichon the last few months?
What foods did you feed your Bichon in the last 5 years?
What supplements/vitamins did you give your Bichon?
Any reactions to foods in the past?  Yes  No
Explain:(1000 char max)

Vaccinations and Preventive Medications

BFCA is very concerned about the effect of excessive vaccinations and the use of preventive medications on the health of the Bichon Frise.  Read the corresponding article on our list of health topics for more information. 

Please provide the following information for our records, which may have impacted diseases your Bichon developed.

 
How often does your Bichon get vaccinated with core vaccines as a combination shot (Distemper, Adenovirus or Hepatitis, Parvovirus, Parainfluenza)?
 
How often vaccinated with:
Leptospirosis: Corona:
Bordetella: Rabies:
 
Please type in the name of any heartworm and/or flea preventive medications you have been giving your Bichon.
 
Comments:(1000 char max)
 

Again, thank you for your time and interest in providing this information.  It will contribute to a better future for the Bichon Frise.  The more we know, the easier it will be to eliminate existing problems, prevent early deaths, and possibly offset future health problems.  Please return to the BFCA Health Committee:

 
Ms. Vickie Halstead, Chairman
5 Oak Ridge Trail
Circle Pines, MN 55014-1755

Please copy the numbers above in the field below before submitting