This form for is for online or phone consultation for the Health and Nutrition for you bird(s). All fields marked with a (*) are required. It’s very helpful to have photos of any visible lesions or abnormalities, abnormal droppings, or videos of abnormal movements available to upload.  You can also upload diagnostic test results or necropsy reports.  The Fee for the consultation is $35.00 payable via Paypal. You can use a paypal account or use a credit card or debit card. Once you have filled out the form below you will be directed to paypal. You should receive an email informing you all things went well and should be contacted by Dr. Smith shortly.

(If you should need to cancel your submitted request do so here Cancel Request)

Do your best to fill in the information requested below, but don’t worry if you can’t answer some.