Phone: 07 5449 1453

Clinic Hours: 9am-4.00pm (Qld time) Mon-Fri
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Tel: (07) 5449 1453

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  Behavioral Consultation
 

DOG BEHAVIORAL CONSULT FORM
Please complete the below form with as much information as you can on the dog's background and behavior and our Behavioral consultant will get back in touch with you. Please ensure your email address is correct as she will contact you by email to discuss the matter further.

  Your Details
Name 
Address 
E-Mail 
Phone 
Fax 
   
  Your Dog's Details
Dog's Name 
Breed 
M/F 
Age/DOB 
Weight 
Desexed 
Vaccinated 
   
 
Current Behaviour

Please detail the behaviour your dogs is displaying or what you would like to discuss with our behavioral consultant.
 

     

Thank you for taking the time to complete this form.

I would prefer to pay by

We accept all major Credit cards (Bankcard, MasterCard, Visa, American Express & Diners), Cheques, Money orders, Overseas Bank Draft, or you may pay by Direct Deposit to our Westpac Bank.

One of our consultants will contact you to discuss the above with you either by email or phone.

No remedies are supplied with this consultation.

  

IMPORTANT - Please select payment option once submitting form so we can process your consultation.


   

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Copyright © 2010 GREENPET, All Rights Reserved. The products and information given on these pages is not intended to substitute veterinary diagnosis and treatment, but to compliment it. If symptoms persist, please seek the advice of a qualified practitioner.

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