Online Consultation Request Form

Online Consultation Request

Please select between the two consultation options below.

Please be clear and concise as this will help with the interpretation.

You will be receiving an emailed consultation report with Dr. Dodds' suggestions/interpretations sent to the email address you have provided for yourself.

About Your Pet

Pet Name		Species
Pet Age	Yrs	Breed
Weight	Lbs	Sex
List all Medication		How much Medication?
		How often?

Your Question for Consultation (Maximum characters: 500)

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Max Filesize: 20MB, Allowed Formats: PDF, Word, JPG, ZIP

I have a login and password I have placed an ordered before Enter new Contact Information

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Address

Phone #

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	General Consultation Request (no text limit, ability to upload results, pics, etc) A report with professional interpretive comments and recommendations will be provided based on the information submitted. However, if the consultation involves complex issues or requires follow up questions, an additional consultation payment may be applicable. We will notify you in advance.	USD 200.00
	(Optional) CellBIO/NutriGold Consultation (After Completing the CellBIO/Nutriscan Test: please provide Accession No. found on left hand corner of report) Offers an individualized follow up report based on patient’s test results to help implement any dietary changes for pet’s overall well-being. However, if the consultation involves complex issues or generates more questions, an additional consultation fee may be applicable. We will notify you in advance.	USD 50.00
TOTAL		USD 0.00

You can still review your order after you click submit.