Hill's Veterinary Nutritional Consultation Service
PLEASE NOTE: Due to reduced capacity in September, our call back availability is limited. We appreciate your patience during this time! Please feel free to visit myhillsvet.com.au for additional dietary information in the mean time.
Clinic Name
*
Veterinarian Requesting Consultation
*
First Name
Last Name
Clinic phone number
*
-
Area Code
Phone Number
Phone Number
-
Area Code
Phone Number
Clinic email
*
Who is your Hill's Territory Manager?
Please Select
AINSLEY_WRIGHT@COLPAL.COM
ALEXANDRA_FORSTER@COLPAL.COM
DAVID_HARTWIG@COLPAL.COM
EMMA_FORBES@COLPAL.COM
ERICA_MO@COLPAL.COM
HAYLEY_LANGFORD@COLPAL.COM
JACKIE_CHACKO@COLPAL.COM
KATE_CAMBIE@COLPAL.COM
KATELYN_OCONNOR@COLPAL.COM
KATIE_GRESLEY@COLPAL.COM
KELLY_JENSEN@COLPAL.COM
KIRI_STOWELL@COLPAL.COM
KIRSTY_BENNET@COLPAL.COM
KRISTY_TARRANT@COLPAL.COM
LOREN_MAWBY@COLPAL.COM
LUCIE_KLIJN@COLPAL.COM
MACKENZIE_WOESTE@COLPAL.COM
MARIANO_LEZANA@COLPAL.COM
OLIVIA_HAMMELSWANG@COLPAL.COM
RACHEL_SPITTS@COLPAL.COM
ROGER_NOWELL@COLPAL.COM
SHARON_KOREN@COLPAL.COM
SUMMA_MCCRACKAN@COLPAL.COM
TAIS_NOVAES@COLPAL.COM
TANYA_STYLES@COLPAL.COM
TATE_WALKER@COLPAL.COM
TRACEY_FAIRHURST@COLPAL.COM
ZACHARY_CHEN@COLPAL.COM
Unsure
Patient Name
*
Pet Name
Last Name
Species
*
Canine
Feline
Breed
*
Age
Age
*
If less than one year, please type in age in months ie, 6 months
Sex
*
M
MN
F
FS
Ideal Weight(kgs)
*
Current Weight(kgs)
*
Current Diet
*
Have you spoken to Hill's about this patient before?
*
Yes
No
What is your dietary enquiry
*
List medical conditions:
*
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
Cancel
of
Taking any medications, currently?
*
Yes
No
If yes, please list here
Call back availability
We will attempt to call you at the time you have chosen (call backs are a window of two hours ie, 9am call back between 9-11am). Please be mindful of delays during Aug/September while we work at reduced capacity
Please choose the next available date and time. Dates and times will be greyed out if unavailable use the arrows to find the next available day and time.
*
Please select time: We'll try our best to call the clinic when you have selected!
Morning - 9am - 12pm
Afternoon - 1pm - 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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