Your Name (required)
Your Email (required)
Date of appointment:
Dogs Name, Breed and Age
Brief history of dog and reason for appointment
Are there any meds the dog is currently taking?
Has your dog injured another dog or person
If yes please give details of the injury?
Do you require a written report of your consultation?
Please see my 121 terms and conditions HERE
I have read the T&C for 121 with dog.help
Payment Type: (please select one)
Please make cheques payable to Penelope Hoare.
Please mark BACS transfer clearly with your name and the course you are applying for. My BACS Details are: SORT CODE: 53 50 55 ACCOUNT NUMBER: 11278471.