Essential Oils

We look forward to helping you and your pet with integrative veterinary care. Please complete the Essential Oil Form below.

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Essential Oils

We are so happy to meet you! We just need some information to get started. We look forward to helping you and your pet with integrative veterinary care.

Owner's Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Pet's Information

Pet's Name(Required)

Species(Required)

Breed(Required)

Age(Required)

Gender(Required)

Female

Spayed Female

Male

Neutered Male

Weight(Required)

Medical History

Allergies: Any known allergies or sensitivities to specific substances, including essential oils.(Required)

Current Medications: List any medications or supplements the pet is currently taking.(Required)

Existing Health Conditions: Note any existing health conditions or chronic issues that the pet may have.(Required)

Household Information

Other Pets in the Household: Indicate if there are any other pets living in the same household. Please include species, breed, age, and any known health issues of the other pets.(Required)

Primary Issue/Goal:

Describe the primary issue or goal for using essential oils on the pet (e.g., anxiety, skin irritation, joint pain).(Required)

Prior Experience with Essential Oils:

Have you used essential oils on your pet before? If yes, please provide details about the oils used and their effects.(Required)

Veterinarian Information:

Name and contact details of the pet's primary veterinarian.(Required)

Consent and Acknowledgment:

Consent to use essential oils on the pet and acknowledgement of potential risks associated with their use.(Required)

I consent.

Signature(Required)

Date(Required)

Essential Oils

Essential Oils

Owner's Information

Pet's Information

Medical History

Household Information

Primary Issue/Goal:

Prior Experience with Essential Oils:

Veterinarian Information:

Consent and Acknowledgment:

Book an Appointment

Serving pets and families in the Los Angeles area and beyond.

Location

Contact

Hours

Unicorn Space Hours

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