Healing Center for Animals

What is the Nutritional Pet Profile Program "NPP"

The NPP was created by Dr. Bob and Susan Goldstein for the purpose of offering you the opportunity to receive an individualized nutritional support program for your animal based upon Dr. Bob and Susan’s thirty years of clinical experience treating animals holistically using diet, vitamins, minerals, herbs and homeopathy as healing modalities. The NPP is beneficial and applicable for your animal if he or she is well or just experiencing a minor ailment such as arthritis, minor allergies, ear, eye or skin disorders.

The NPP does not require a blood test to provide a report and program to follow.

Complete the form below or you can download and print out the NPP's PDF form and fax it in to (203) 222-0926.

If your animal suffers from a serious illness such as cancer, heart, liver, or renal failure, please see your veterinarian and request a Nutritional Blood Test available through Antech Diagnostics (Form # NBT 9945) or call (888) 533-5162.

Please fill in all fields so we can help you & your pet better.

WARNING: Speak with your Veterinarian before vaccinating your pet. If they suffer from a compromised immune system or are in a fragile state of health, consider the possible side affects. Vaccinate with intelligence, then detoxify!

Nutritional Pet Profile Fee $49.95. Please not that once the form is filled out and submitted we will contact you to go over the information and at that time we will ask you for your credit card information.

Personal Information

First Name

Last Name

Address 1

Address 2

City

State

Zip Code

E-Mail

Daytime Phone

Evening Phone

Cell Phone

Fax #

Patient Information

Pet's Name

Breed
(please be specific)

Date of Birth

Canine/Feline

Sex

Spayed/Neutered (Date)

Weight

Questions About Your Pet

1. Animal’s Current Health Status:

2. Current Diet:

3. Vaccine History:

4. Current medications being taken (if any):

5. Current Nutraceutical or Supplement Program (if any):

6. Emotional/Stress Status:

7. Has your animal ever been in a shelter or been rescued?

8. Is your animal grieving?

9. Your Current Flea and Tick Prevention Program?

10. What are your concerns?

11. Your specific questions?

12. Your health goals for your animal?

13. How did you hear about us?

14. How would you like to receive the NPP for your animal?

Mail

Fax

Pickup at Earth Animal