Form Diet Optimisation Online

Apply automation

Service requested *

Query subject *

Who is submitting? *

Your name *

Your email address *

Your phone number

Owner's name *

Owner's email *

Owner's phone

Owner's street *

Owner's city *

Owner's postcode *

Owner's country of residence *

Referral / partner code (if you have one)

The code provided at referral by a partner (ask your vet / pet professional)

Veterinary practice / business name

Practice / business address or website

Treating veterinarian's name

Preferred report language *

Patient's name *

If "Other" please specify

Breed (or mixed / unknown)

Age / date of birth *

Is the patient still growing? *

Yes

No

Estimated adult weight (kg) OR (below)

Parents' weight (if known; kg)

Sex & neuter status *

Pregnant or lactating?

Health status patient *

Healthy

Diagnosed/suspected condition

Current body weight (kg) *

Has weight changed recently? *

Stable

Gaining weight

Losing weight

Not sure

How quickly did it change?

Simplified condition status OR

Underweight

Ideal

Overweight

Body condition (BCS)

Muscle condition (MCS) *

Photos upload (side & top view)

Activity level

Other pets in the household?

Yes

No

Can the patient be fed separately?

Yes

No

Unsupervised outdoor access?

Yes

No

Unsupervised access to food?

Yes

No

Clinical records upload

Diagnosis and clinical background

Current medication & supplements

Did appetite change?

Diets previously tried to address issue (and how long)

Allergy / intolerance suspected? *

Yes

No

What has been fed in the past (not only diets to address the problem). Alternatively select from the question below.

Current diet (please specify what & how much). More details cause a more accurate estimation of actual energy requirement. *

Number of meals per day *

How is the food stored?

Preferred diet type *

Goals / questions for this consult *

Further requests

I have read and accept the General Terms of Service and the Privacy Policy. I acknowledge that I (or the practice / business I act for) am the debtor for the costs and have been informed of the likely costs. *

I understand this is nutritional advice and education, not a diagnosis, treatment, prescription or emergency service, and that it does not replace an in-person veterinary examination. In an emergency I will contact a vet in person. *

I confirm that, to the best of my knowledge, all information I have submitted is correct and complete. Where I have not submitted a clinical history, I attest that my animal is not currently undergoing veterinary treatment and that I have no reason to believe it currently requires veterinary attention. I will inform BaoVet before the advice is given if this changes. *

I agree that my animal's anonymised data may be used for research and education. This is optional and I can withdraw it at any time; leaving it unticked changes nothing about my consultation.

By submitting this case I confirm that: I am authorised to act for the practice named; I accept the Referral Terms (Part A); the information is accurate and, for any animal that is not healthy, I have provided the diagnosis and workup (the nutritional advice supports, not replaces, my clinical judgement); and I have obtained the owner's consent to submit this case and data to BaoVet, including that anonymised/aggregated data may be used for research and analytics. *

By submitting this case I confirm that: I am authorised to act for the business named; I accept the Referral Terms (Part A); and that either (a) the animal is, to my knowledge, healthy and not undergoing or in apparent need of veterinary treatment, or (b) the animal has been examined by a veterinarian who diagnosed the condition, whose clinical record I have provided and that in either case I am not acting as the clinical decision-maker. Any animal I suspect to be unwell, and which has not been examined, I refer to a veterinarian instead. I have obtained the owner's consent to submit their and the animal's data to BaoVet, including that anonymised/aggregated data may be used for research and analytics, and have submitted the animal's history and the owner's contact details. *

Submission details