Services

Tele-Consult

Providing Everything You Need

If you are interested in speaking with our Veterinarian on behalf of a client, for a video conference, please fill out the form below.

First name*

Last name*

Phone*

Veterinarian practice

Email*

I am interested in a consultation for:

Do you have a client with us?

Yes

No

Do you prefer a phone call or a Zoom meeting?*

Phone Call

Zoom

Client name*

Client phone number*

Client email

Pet name*

Pet species *

Canine

Feline

Other

Pet Sex*

Male

Male-Neutered

Female

Female-Spayed

Will the client be coming into our office?*

Please fill out any details or information you would like the doctor to be aware of before the consultation.

Today's date*

Documents *

I have uploaded files to review

I will have files ready to view via screen share during the consultation

File upload

Signature*

bottom of page