Signs of distress in dogs during veterinary visits are often normalised rather than viewed as welfare concerns. Interventions designed to reduce fear during veterinary visits were evaluated to see if they affected dogs’ behaviours compared to dogs without interventions. Twenty-eight dogs were examined at four visits across eight weeks. Dogs were randomised into intervention (distress reduction/adaptive care) and control groups (standard care) and evaluated via the Working Dog Questionnaire – Pet Dog Version (WDQ-Pet). At visit 1 (baseline) all dogs received the control protocol. Homework was assigned following visit 1 to practice collaborative examination (intervention) or to pet the dog (control) for the same allotted time. At each visit, behaviours were scored (clinical stress score) via video and in-person observations when dogs entered the hospital, stepped onto a scale to be weighed, entered the exam room, at the beginning and end of examination, and after venipuncture. There were no differences between groups at visit 1, or across visits entering the hospital or exam room. At visit 4, intervention scores either decreased or remained low when weighed, and at the beginning and end of the physical exam. Control scores were significantly higher than the intervention scores during these periods. Reduced clinical stress scores indicate intervention dogs had improved care experience compared to the control. The study results highlight the value of applying simple and adaptable interventions, ultimately leading to improved animal care and welfare.