free online consultation form Pet owner name: * First Name Last Name Email: * Phone number: * (###) ### #### Do you already have or use any Iv San Bernard products? Yes No Pet name: Pet weight: pet age: Gender: Intact Male Intact Female Spayed Female Neutered Male Species: Dog Other Breed: Pet’s current diet (please include any treats/supplements and if there have been any recent changes in diet): Is the pet on flea/tick medication? If so, what brand and type (oral, topical, etc)? What is the pet’s current bathing routine? (frequency and products used): Please describe the issue in detail: How long has this been going on? Is this a seasonal issue? Yes No Check all that apply: Crusty Oozy Inflamed Sores Itchy Odor Hair loss Dry/Flaky Other Has this pet been seen by a vet for this issue? Yes No Is the pet being actively treated by a veterinarian for this issue? Yes No Has bloodwork been done recently? Yes No Has the pet been seen by a specialist/Dermatologist? Yes No Is the pet on any medications unrelated to this issue? Yes No Has the pet been diagnosed with any other chronic issue, even if believed to be unrelated? Yes No Disclaimer: This consultation form is intended for informational purposes only and does not constitute a diagnosis for your pet. Its primary purpose is to assist in formulating a plan of action based on the information provided. Please be aware that the accuracy and completeness of the details shared will directly influence the effectiveness of our recommendations. There may be situations in which we advise seeking veterinary assistance or testing for a comprehensive evaluation. It is important to note that the purpose of our recommendations is to contribute to the restoration of your pet’s skin, and our suggestions should not be considered a substitute for professional veterinary care. I have read and understand* Thank you!
