Pet Complimentary Dosage Consult Form Below

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).

Livestock Consult

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Name

First

Last

Phone

What species are you feeding?

Animals Age

Tell us about your animal

name | age | breed

Animal Discipline

(ie. Show, Pet Performance/ What type of performance)

Do you and your animal compete? If so how often and at what level?

What current issues are your animal suffering from?

What have you tried so far to help your animal with these issues?

e.g. - Injections, Chiropractic, Massages, Aqua Therapy ...

Has this animal been diagnosed by a Vet?

What was the diagnosis?

animal feeding so

Do you have any diagnostics (radiographs, ultrasounds, etc)?

If your animal has had injections when was the last time and where?

If no injections then please type no

Is your animal currently on any supplements, if so which ones?

Are you currently feeding? OptiWize if so how much?

I understand to qualify for the 60-day money back guarantee I need to provide all the information above and be feeding the recommended daily dosage. Follow up videos will be required at the end of 60 days.

I understand

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.