Step 1: About You & Your Pup
Full Name
*
Pet's Name
*
Pet's age (in years)
*
Ideal time to contact you?
Step 2: Your Requirements
What is the main issue with your pup?
*
Arthritis
CCL/ACL Tear
Luxating Patella
Spine/Back
Hips
Shoulders
Other
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How long has the issue been going on?
*
A few days
1-2 weeks
2-4 weeks
1-3 months
Long enough
Far too long (years)
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What is your biggest concern regarding your pup's health?
Health will only get worse from now on
Not knowing what is wrong and how to help my best friend
Risk and cost of surgery
Unsure of how to help with recovery post surgery
Inability to do the activities we enjoy together (ie. daily walks, trips to the dog park)
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Have you had experience with rehabilitation in the past?
Yes
No
What is the main goal you would like to achieve with rehabilitation?
Improve my pup's overall health and independence
Learn more about how I can best help my pup
Avoid surgery with conservative management
Full recovery after surgery
Maintain our routine/lifestyle together for as long as possible
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Step 3: Contact Info
Phone
*
Email
*
Postal code
How did you hear about us?
Were you referred by someone? (Individual or veterinary care provider)? If yes, who referred you?
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