Susan G. Wynn, DVM, CVA, CVCH, AHG   
Veterinary Nutrition and Integrative Medicine  
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Patient history forms
We work directly with your veterinarian to develop a customized diet plan based on your pet's medical history and food preferences, along with your ability to source diet ingredients locally or on the web.  We are unable to consult directly with pet owners, as this is illegal.

The evaluation of a patient for a customized diet requires much information - things like the current body condition (fat and muscle in standard scoring systems), all of the medical history, and an understanding of the pet's food preferences as well as the owner's preferences about the type of diet they can provide. We cannot fully evaluate a pet's nutritional needs without all of this information, which is why:

1. We require a referral from your veterinarian
2. We require the paperwork to be filled out fully

We do not offer phone consultations or speak directly with the owner unless your pet is a current patient of GVS (i.e. your pet has been seen here within the past year).  We cannot make recommendations on integrative therapies such as herbal medicine long distance*.  If you would like a homemade diet formulated, please click the link below, fill out Part 2, which begins on page 3, then send the form to your veterinarian to complete and fax, email or mail to us. 


Nutrition history form

* Why is a physical exam required for herbal or some other integrative therapies?   Traditional Chinese medicine, some Western herbal methods, acupuncture/acupressure, chiropractic, and other traditional medical approaches require physical information, such as tongue color, pulse quality, and sensitivity to palpation at certain points.  While some veterinarians may offer to prescribe herbal formulas long distance, those recommendations are based only on partial data and will not be as effective as a prescription from a trained practitioner who can examine your pet. To find a trained practitioner of herbal medicine or acupuncture near you, check these referral listings:Veterinary Botanical Medicine Associationwww.vbma.orgAmerican Academy of Veterinary Acupuncturewww.aava.orgChi Institutewww.tcvm.comInternational Veterinary Acupuncture Societywww.ivas.orgAmerican Holistic Veterinary Medical Associationwww.ahvma.org
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