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Equine Consult and Complementary Dosage Form

(One animal per form, provide answers to all questions with as much detail as possible. Upon review by an OptiWize consultant, you will be contacted by email within 3 – 5 days)

To qualify for our guarantee the animal experiencing lameness must have a veterinary diagnosis, an active approved dosage consultation, and be consistently fed the recommended dosage provided by an OptiWize consultant.

You can find our Equine Dosage Chart here.

For questions regarding dosing schedule on dosing cards, please contact customer service at contactus@optiwizehealth.com or call 512-640-6502.

Equine Consult
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Name
name | age | breed | sex
Do you and your horse compete?
(please describe in detail)
e.g. - Injections, Chiropractic, Massages, Aqua Therapy ...
Has this horse been diagnosed by a Vet?
Is your horse currently on stall rest or limited exercise restrictions?
Has your horse had injections?
Are you currently using OptiWize?
I understand to qualify for the 60-day satisfaction guarantee, I need to provide ALL requested information above, have a current veterinary diagnosis, videos and images per instructions below, provide updates as requested, and be compliant in administering the recommended daily dosage. All diagnostics, videos, and images must be current (within the last 6 months). Follow up videos and images will be required at the end of 60 days with submission of the money back guarantee form. After a comprehensive review by an OptiWize consult specialist, any refund owed will be processed.
I have reread the information and confirm it is complete and correct. If the information, videos, and images are not complete or correct (following below instructions) it may delay your consult, and resubmission may be required.
Click or drag a file to this area to upload.
Please limit the video to 20-60sec max. (If you are having trouble uploading please email extra files to consult@optiwizehealth.com from provided email above with your animals information))
Click or drag files to this area to upload. You can upload up to 15 files.
You can upload up to 15 images. (If you are having trouble uploading please email extra files to consult@optiwizehealth.com from provided email above with your animals information)

Equine Consult Video and Image Instructions:

Step 1.

Trotting Video

Please upload a video of your horse trotting in a circle 15-20 seconds both ways from the center.

 

  • No rider
  • Filmed from the center of a 20′ diameter circle (jog in hand if necessary)
  • On stable ground or in arena
  • Left tracking: 15 seconds
  • Right tracking: 15 seconds
  • Phone held sideways to keep the entire horse in the frame

Step 2.

Diagnostics

Please upload any diagnostics you have.
(vet treatment plan, farrier prescription, ultrasounds, radiographs, MRI, etc).

Step 2.

Diagnostics

Please upload any diagnostics you have.
(vet treatment plan, farrier prescription, ultrasounds, radiographs, MRI, etc).

Step 3.

Hoof Pictures

Please provide pictures of your horse’s hoof’s at ground level one from the side and one from the front.

From knee / hock down. (hoof MUST be clean and fully visible)