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Botika't Reseta: Contact form 
Terms and Agreement
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Patient Profile
Patient's Specie
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Dog
Cat
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Terms and Agreement:

Veterinary Botika at Konsulta with Doc Loy is a virtual clinic, thus we provide a Veterinary clinic service with the best of our ability, but with known limitations. 

We urge you to make sure that the condition must not be with Emergency cases as we were not held liable for any damage incur with it. 
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I disagree
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Patient's Name:
Ex. Panda Gomez
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Patient's Age:
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Gender
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Male (intact)
Male (Neutered/ Castrated)
Female (intact)
Female (Spayed)
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Breed
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Body Weight in Kgs.
(Please provide exact body weight using weighing scale)
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Needs Emergency Services?
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Yes
No
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Reason for online consult
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Skin Problem
Ear Problem
Eye Problem
Limping
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Patient Condition Overview:
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Short Description of the problem to be consulted:
(Ex. Itchy skin, Foul smell on the ears, cloudy eyes)
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Duration of the Problem:
(Ex. 1day, 1week, 1month ago, recurring)
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Medication Given; (if any)
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Section 3 of 3
Client Information
Owner's Name
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Address
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Contact number
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Schedules available:
Sunday 12:00-3pm
Monday 6pm-10 pm

We will be calling to confirm your booking. Thank you
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Patient Profile
Patient's Specie
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Terms and Agreement:

Veterinary Botika at Konsulta with Doc Loy is a virtual clinic, thus we provide a Veterinary clinic service with the best of our ability, but with known limitations. 

We urge you to make sure that the condition must not be with Emergency cases as we were not held liable for any damage incur with it. 
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Patient's Name:
Ex. Panda Gomez
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Patient's Age:
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Gender
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Breed
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Body Weight in Kgs.
(Please provide exact body weight using weighing scale)
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Needs Emergency Services?
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Reason for online consult
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Patient Condition Overview:
Short Description of the problem to be consulted:
(Ex. Itchy skin, Foul smell on the ears, cloudy eyes)
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Duration of the Problem:
(Ex. 1day, 1week, 1month ago, recurring)
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Medication Given; (if any)
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Client Information
Owner's Name
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Address
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Contact number
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Schedules available:
Sunday 12:00-3pm
Monday 6pm-10 pm

We will be calling to confirm your booking. Thank you
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