Please fill out this form prior to speaking with us, if possible.  It will allow us to have all of your pertinent information prior to speaking with you. (please be aware that all of the questions may not pertain to your animal) .  When filling out the form, please be as specific as possible. 
 

Owner's Name
Street Address
City, State, Zip
Phone:  Home  
             Work 
              Cell      
              Fax
Email  
   
Pet's Name
Type of Pet               
Age    
Weight   
Breed  
Present Health Concerns 
  (please be as specific as
          possible)
Current Feed       
Previous feed      
How is your pet's digestion?  
  (please be as specific
       as possible)
What supplements or medications are you currently giving your pet ?  
Do you have a confirmed diagnosis from a veterinarian? 
Has blood work been done?  
Has a biopsy or tissue sample been done?    
Will you be faxing us any diagnosis testing such as blood work, medical records, etc so that we will know if we should wait until we receive these prior to contacting you?  (our fax # is:  914-941-3947)
Any additional information you feel is important for us to know.  
Best time and phone number for us to contact you