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Livestock 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 Livestock Dosage Chart here.

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

Livestock Consult
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Name
Animal Discipline
 (please describe issues in detail)
e.g. - Injections, Chiropractic, Massages, Aqua Therapy ...
Has this animal been diagnosed by a Vet?
Has your animal 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 re-read the information and confirm it is correct. If the information is not complete or correct it may delay your consult.
Click or drag files to this area to upload. You can upload up to 3 files.
Please limit a single video to 60sec, you can upload up to 3 videos. (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 8 files.
You can upload up to 8 images. (If you are having trouble uploading please email extra files to consult@optiwizehealth.com from provided email above with your animals information)

Livestock Consult Video and Image Instructions:

Step 1.

Video

*Please upload three 20 second videos of your Livestock walking in a straight line – one from the side, one walking away from the camera, and onewalking toward the camera.

Please keep them in the frame and angle as
shown in example (phone sideways).

Step 2.

Diagnostics

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

Step 2.

Diagnostics

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