TeleAdvice Consultation
Schedule a one-on-one virtual visit directly with Dr. Hemsley to discuss your pet’s quality of life.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pet's Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Species
*
Canine
Feline
Breed
*
Species
*
Canine
Feline
Sex
*
Male
Male Neutered
Female
Female, Spayed
Describe Your Pet's Condition*
*
Current Veterinary Clinic
*
Has there been a diagnosis made? If so, when?*
*
Please list all of your pet's current medications & supplements*
*
Anything else you'd like us to know? Specific questions you'd like answered:
Please upload any blood work, medical records and/or images (X-rays)
Browse Files
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of
Preferred Timeframe for Appointment*
*
Within 1-3 days, if possible
Within 4-7 days, if possible
Next Week
Preferred Timeframe for Appointment*
*
Morning
Afternoon
Evening
Telehealth requests are not intended for emergencies
*
I have read the above statement and understand
I am able to participate in video conferencing
Yes
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