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Pet 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 Pet Dosage Chart here.

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

Pet Consult
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Name
please detail below
name | age | breed | sex | neutered or spayed
(ie, kibble, canned, raw, home cooked, ect)
(ie, twice a day, free feed)
(ie. Show, Pet Performance/ What type of performance, Breeding)
Do you and your animal compete or show?
(please describe 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 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)
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)

Pet Consult Video and Image Instructions:

Step 1.

Video

*Please upload a 20 second video of your dog jogging in a straight line. Please keep them in the frame and angle as shown above (phone sideways).

If you have videos of tasks that have become difficult for your dog like going up stairs, getting up from laying down, etc.

Step 2.

Diagnostics

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

Step 2.

Diagnostics

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