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Consultation Form

Please complete consultation form for online, phone or in-home consultation.
(Please check appropriate box below.)
I am interested in an online consultation only
I am interested in a phone consultation
I am interested in an in-home consultation (MD residents only)

Please provide the following contact information:

Name **Required
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
FAX
E-mail **Required

Please provide the following Canine Health information:

Tell us about your dog!
   
Please describe dog's likes and dislikes.
   
Please describe dog's overall health
   
  (What are your expectations from our consultation?)
Describe how Pawz for Health can help.
   
  For Phone and In-home consultations only.
What is the best way to contact you?   Email
  Phone
   

Please type YES in this box to complete this form! (Required **)

 

 I understand that Pawz for Health offers advice only on ways to improve a pet's existing health. None of the information or advice given claims to cure a pet of any disease. Pawz for Health's advice is not expected to replace regular visits to a veterinarian. If a pet is experiencing any medical problems please consult a veterinarian immediately.
 

Pawz For Health
Email: Consult@pawzforhealth.net
 

Disclaimer: Pawz for Health is an information/advice service only. The information/ advice given is not intended to, nor do we claim to cure, treat or prevent disease. We are not veterinarians, and therefore do not offer advice to replace the need to visit your veterinarian. Pet(s) displaying any medical or severe health problems, MUST consult a licensed veterinarian immediately. Our advice is not intended to diagnose, treat, prevent or cure disease.
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