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Name*

Email*

Phone*

WhatsApp Number*
If WhatsApp is same as Phone, check here

Images and Videos of pet

Note: In case if you want to share images and videos of your pet condition then, before continuing with the form, please upload images or videos of your pet condition to your google drive and create a viewable link.

Doctor Details*
Choose DoctorDr. Ajitesh KumarDr. NitinDr. Tejeesh Kumar ReddyDr. Pavuluri RevathiDr. Vishnu PriyaBest available doctor

Desired Date & Time

What is the immediate reason for this consultation? Describe in detail.*

I understand this is a request and not a confirmed appointment.

Pet name*

Second Pet name (Optional)

Age*

Breed*

Sex
Select GenderMaleFemale

Is your pet up to date with all vaccinations?
SelectYesNo

Is your pet neutered / spayed?
SelectYesNo

Is your pet allergic to anything?

Is your pet on any medications and what dosages?

Does your pet have any previous or existing injuries or medical history?

How is your pet eating/ drinking?

What is your pet’s activity level?

Has there been any vomiting or diarrhoea?
SelectYesNo

Has your pet been exposed to any toxins or poisons?