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First Name*
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Last Name*
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Email*
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Phone*
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Where do you live in New Zealand?
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Would you prefer a video chat or voice/phone chat?*
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Pet's Information
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Pet's Name
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Pet Type:
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Pet Breed (or Species/Breed if Other)
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How Old Is Your Pet (please specify years or months)?
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Main problem you would like to discuss:
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Pet's Brief History
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Briefly tell us aobut your pet's current care and environment. Please include information about current diet, any recent changes, frequency of feeding, amount fed, current vaccination status, parasite preventative status, how many other animals are in the household, what your pet has access to (indoor/outdoor?), as well as any other information around your pet's history.
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Does your pet have any previous or current medical conditions that have been or are curently being treated?
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Is your Pet currently on any medications? If yes, please provide each medication name, dose, as well as how often it is given.
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