Hill's Veterinary Nutritional Consultation Service

Hill's Veterinary Nutritional Consultation Service

**CHRISTMAS DELAYS** During the Christmas period we expect delays. We will endeavour to contact you at the selected time however please be mindful there may be delays over the holiday period. 🎄🎅🦌
Clinic Name*
Veterinarian Requesting Consultation*

PrefixFirst NameLast Name
Clinic phone number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Clinic email*
Who is your Hill's Territory Manager?
Patient Name*

Pet NameLast Name
Species*
Breed*
Age*
Sex*
Ideal Weight(kgs)*
Current Weight(kgs)*
Current Diet*
Have you spoken to Hill's about this patient before?

Yes
What is your dietary enquiry*
Concurrent medical conditions if any:*
Attach History or pathology results (System can support multiple File attachments each file can be 100MB in size) Please upload files to this form only and do not email them separately if you do not upload any history your consult request will be rejected*

Browse Files

Cancelof
Taking any medications, currently?*

YesNo
If yes, please list here
Call back availability

The turn around for this service is 1-2 business days. Please choose a date and time window for our team to call you back to discuss a recommendation.
Choose a date for us to try call

DayMonthYear
Choose a best time. Select multiple options if needed (your local time)

9am - 11am11- 1pm1pm - 3pm3pm - 5pm
Additional call availability comments (ie, Only work Thurs/Fri, In consults most mornings, etc.)
Please Tick*

By ticking the box, I confirm that the information Hill's provides me through VCS must be interpreted in line with and used on my own professional judgement and clinical experience. By submitting the form, I acknowledge that any personal information collected on this form will be used by Hill's Pet Nutrition Pty Ltd for the purpose of processing my request for VCS, and consistent with Hill's privacy policy (https://www.hillspet.com.au/legal-statement-and-privacy-policy). I understand that you may not be able to provide me with the relevant services if I decide not to provide you (or your service provider) with the necessary personal information. I further understand that I may request access to, removal, and correction of my information by contacting Hill’s at privacy_officer_hills_australia@hillspet.com
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Hill's Veterinary Nutritional Consultation Service

Call back availability