Phone Consultation Form |
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Note: All photographs sent to me will become the property of Blackwatch Nutritional Consulting LLC and can be used for educational purposes; website, seminars, publications, videos, books. All names will be changed and photos cropped so as not to compromise the integrity of the owner or breeder. If your pet has been diagnosed by a vet first, and you want to schedule a phone consultation with me, you will need to call the office to make payment and scheduling arrangements for a phone consultation. 1-877-343-0724 (toll free) There is a consulting fee of $50 for up to- 45 minutes and you must call the office at First Choice Naturals to schedule this consultation. They will take care of the credit card charge at that time. There is no fee to veterinarians and others involved in the animal nutrition business. Cut and paste info below into a Word Document or email and send it. 1stchoicenaturals@comcast.net Part 1. Your name: Dogs Name: Zip code: City and State: Phone: Part 2 1). age, sex and breed of dog 2). approximate weight of dog 3). at what age did you get the dog 4.) what shots have been given and at what ages. 5) has this dog had it's rabies shots? 6). at what age was the rabies given? 7.) has the dog been on any antibiotics and what is the name and how long ? 8) if a Dane, is it cropped and approximately what age? 9.) has a blood test been run? 10.) did the blood test show infection 11). did they do x-rays ? 12). what is vet's diagnosis? 13.) Did you get a second opinion? 14:.How did you locate me? 15. Does the dog have any skin rash, if so where? 16. Does the dog have any respiratory problems? 17. Do you spray your lawn? 18. Do you use Carpet Fresh or any carpet sprinkle or furniture cleaning agents such as leather oil etc. 19. What do you use for laundry and fabric softeners? 20. List all household cleaning agents including room deodorizers and sprays. Part 3: 15.) Does this dog have seizures? if so what medicine is the dog on? 16.) Was this dog dignosed with Allergies? Did they do allergy testing?
Part 4. I need complete information on diet: 1) brand name (company) and type of food (Puppy)( Adult) 2). protein and fat content 3). amount the dog gets at each feeding 4). times a day the dog is fed 5.) do you give any treats? If so what are they? and how many est. 6.) list all supplements 7). list any other foods that you are giving the dog (list everything please) 8). do you give vitamin C? and how much? 9). has the dog been sick at any time since you own it? 10). How many times have you switched dog food and what brands? Anything else that might be helpful, nothing is to small to consider: |
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