Nutrition Consultation Form
(512) 601-5030
nutrition@fosteringpetnutrition.com

Ready to start the consultation process?

Start Pre-consultation

This form takes about 15 minutes to complete
Please have your pet's medical records and primary veternarian contact information available

Please note...

Before a consultation with Dr. Foster, we must receive all of the following:

  1. Pre-Consultation Form
    This is the form you'll be completing now.

  2. Veterinary Referral Form
    You'll receive an e-mail after completeing this form that you will need to forward to your referring veterinarian. It includes a link they can follow to provide required information.

  3. Pertinent Medical Records
    All pertinent medical records from your referring veterinarian including a CBC, chemistry, T4 and urinalysis performed within the last 6 months. If your pet's labwork is not up-to-date, you'll need to schedule an appointment with your primary veterinarian to update your pet's records before your consultation can proceed.

Please enter your contact information
This information should match what's on file with your veterinarian

Please enter contact information for your primary care veterinarian

What is your pet's first name?
This should be the same name on file with your pet's primary veterinarian

Is
your pet
a cat or a dog?
Dr. Foster only provides consultations for canine and feline patients

What are your goals when seeking a nutrition consultation for
your pet
?
You can select multiple options and will be able to enter a custom goal



What breed is
your pet
?

Is
your pet
male or female?

Is
your pet
spayed or neutered?

How old is
your pet
?
This should be in actual years and months. No cat or dog years please!

years
months

What is
your pet
's current weight?

When was
your pet
's weight last checked?

How would you score
your pet
's body condition?

5 - Ideal

1 - Emaciated
4 - Ideal - 5
Morbidly Obese - 9

Is
your pet
experiencing any muscle loss?

Please list any current medical issues or diagnoses for
your pet
in the box below:

Please list any prior medical history for
your pet
, and whether prior conditions have been resolved

Please list any medications, including supplements,
your pet
is currently taking

Please include medication or supplement name and dosage per day

Example: Prednisone (5mg Tablets): 1 1/2 tablets twice daily

Please add any and all pet food, human food, treats, and snacks
your pet
is currently eating
If feeding a homemade diet, please list each ingredient separately.


Please add any and all food
your pet
has received in the past
If feeding a homemade diet, please list each ingredient separately.


How is
your pet
's appetite?

How would you describe
your pet
's eating behavior?

Have
your pet
's eating habits changed recently?

Have
your pet
's drinking habits changed recently?

Have
your pet
's urination habits changed recently?

Has
your pet
had a change to
their
bowel movements recently?

Has
your pet
's weight changed recently unintentionally?

Has
your pet
been vomiting recently?

Is
your pet
suspected or diagnosed with suffering from food allergies or inflammatory bowel disease?

Please list any food, ingredient, products, or diet
your pet
is known to be allergic, sensitive to, or does not tolerate

Please list any other pets, if any, that share a home with
your pet

Please include the name, species, and breed of each pet

Example: Rover - Dog - Labrador Retriever

Does
your pet
have access to other pets' food?

Does
your pet
have access to food in or around the kitchen in your home?

Does
your pet
spend more time indoors or outdoors?

How would you describe
your pet
's level of activity?

Please list any activities
your pet
does daily
Please include how often and for how long

Example: Walk - Twice Daily - 30 Minutes

Are you interested in a home-prepared diet for
your pet
?

Please select at least 1 or more protein sources
Please select foods that are available to you and enjoyed or tolerated by
your pet

Chicken Breast
Chicken, other
Ground Beef
Beef, other
Venison
Lamb
Turkey
Pork
Soybean/Tofu
Egg
Cottage Cheese
Yogurt
Pinto Beans
Garbanzo Beans
Tilapia
Tuna
Salmon
Other Fish
Shrimp
Seafood, other

Please list any other sources of protein you'd like to include

Please select any foods
your pet
has never eaten

Chicken Breast
Chicken, other
Ground Beef
Beef, other
Venison
Lamb
Turkey
Pork
Soybean/Tofu
Egg
Cottage Cheese
Yogurt
Pinto Beans
Garbanzo Beans
Tilapia
Tuna
Salmon
Other Fish
Shrimp
Seafood, other

Please select at least 1 or more carbohydrate sources
Please select foods that are available to you and enjoyed or tolerated by
your pet

White Rice
Barley
Polenta
Ground Corn
Zucchini
Brown Rice
White Potato
Millet
Green peas
Lentils
Oatmeal
Sweet Potato
Couscous
Carrots
Broccoli
Pasta/Spaghetti
Pasta, other
Quinoa
Tapioca
Squash, yellow
Cauliflower

Please list any other sources of carbohydrates you'd like to include

Please list any foods you want like to avoid feeding
your pet

You've completed the pre-consultation form!
You should receive a confirmation e-mail shortly.
If you don't see the e-mail, please check your spam or contact us.

What happens next?

  1. Forward Veterinarian Referral Link
    You'll recieve an email with a link to a veterinary referral form shortly. You'll need to forward this email to your referring veterinarian so they can fill it out.

  2. Pertinent Medical Records
    These should be sent by your veterinarian when they fill out the vet referral form. This should include all pertinent medical records from your referring veterinarian including a CBC, chemistry, T4 and urinalysis performed within the last 6 months. If your pet's labwork is not up-to-date, you'll need to schedule an appointment with your primary veterinarian to update your pet's records before your consultation can proceed.

  3. Follow Up Prior to Consultation
    After receving your medical records, Dr. Foster will reach out to you directly for any additional information that may needed.