Dr:
Dr:
Technician
Technician
Address
Address
Phone *
Phone
Fax
Fax
Kg or Lb?
Please describe the type and amount of exercise this pet does on average per week
Please list diets tried. Please provide brand, flavour (cups/pouch fed/day) and whether the diet is dry, moist, or wet. EXAMPLE: "Dry, Purina, Lamb & Rice, 1 cup"
Please state why the diet is NOT ideal for this pet (or owner)
EXAMPLE: owener preference, medical concern, food intolerances, etc.
EXAMPLE: Allergies to fish, etc.
EXAMPLE: >10% of daily kcal
EXAMPLE: Renal disease (IRIS stage), liver failure, pancreatitis, dermatologic or GI food aversions/intolerances
EXAMPLE: gestation, lactation, owner preferences, lifestyle needs, expectations and/or priorities, distrust of commercial pet food, desire for more natural/grain free, etc.

Please note that the above is based on the: WSAVA nutritional guidelines (Journal of Small Animal Practice • Vol 52 • July 2011  FIND OUT MORE HERE