Soul Puppy Holistic Healing

Traditional Chinese
Veterinary Medicine (TCVM)

Historic Downtown Mesa Location

(Note: this is not a full service clinic)

Colleen Brown DVM

145 N Center St. Suite E Mesa, AZ 85201

Welcome! Thank you for choosing Brown Veterinary Services for your pet care needs. Proudly serving the valley since 2010 as a small business-private practice. Dr. Colleen Brown is an Integrative Veterinarian trained in both Western/Allopathic Veterinary Medicine and Traditional Chinese Veterinary Medicine (TCVM). She offers a wide array of Housecall Services for Dogs, Cats and Horses and is the proud owner of Soul Puppy Holistic Healing, a TCVM-only specialty practice for dogs and cats in historic downtown Mesa. Televet services available for active patients. Please note due to the nature of this practice, Dr. Brown does not offer EMERGENCY care. For safely purposes, masks continue to be required due to COVID-19 and its variants. We appreciate your understanding and cooperation. Thank you for your referrals.

Brown Veterinary Housecalls

Dover
Mesa, AZ 85205

(480)494-6034

www.brownvetservices.com

TeleVet Request Form

Please request an in person appointment or go to the nearest full service or emergency clinic should your pets condition deteriorate.

Telvet services are available for active patients with a current in person exam by Dr. Brown within the last 12 months.

Dr. Brown will respond via email unless a phone call is necessary. Response times vary based on availability and type of response requested.

Thank you for choosing us for your pet care needs.

TeleVet Request

Name

First Name	Last Name

Phone
Phone Type	Phone Number

Email Address

Pets Name

Please list current diet and all medications/supplements

This condition or concern is

New
Chronic
Unsure

Brief overview of main concerns or questions.

My pet is

Eating normally
Eating less
Not eating

My pet has

Vomiting
Diarrhea
Normal stools
Vomiting & Diarrhea

My pets activity is

Normal
Lethargic
Decreased

My pet is

Breathing normally
Coughing
Sneezing

Please use this for additional space if needed. Be sure to include when concerns started. The more detail the better.

Additional Space if needed.

Pictures and any new medical records or test results are very helpful

Have additional records or pictures been emailed for review to brownvethc@gmail.com

Yes
No

Please choose from the following telemedicine options. Regular business hours are Mon-Fri 9AM to 6PM (required)

STANDARD RESPONSE:$82 for up to 30 min phone or email consult within 1 to 3 business days during regular business hours
SAME DAY RESPONSE:$120 for up to 30 min phone or email consult during regular business hours
PREAPPROVED AFTERHOUR/WEEKEND RESPONSE: includes additional $150 plus SAME DAY fee of $120 for 30 min phone or email consult

By checking this box I understand Dr. Brown will respond to my questions via email within 1 to 3 business days unless a same day response was requested

By checking this box I agree to prepay for televet services via zelle, venmo or paypal. I understand that due to the number of requests received daily that Dr. Brown will not be able to respond to my request until payment is received.

Preferred payment options (required)

Zelle-send to 480-494-6034 or brownvethc@gmail.com
Paypal-send to drbrown@brownvetservices.com
Venmo-send to cmbrowndvm

By checking this box I understand that if my pets condition can not be addressed via telemedicine or worsens that I must schedule a housecall or Soul Puppy appointment or go to the nearest full service veterinary clinic or emergency clinic

Thank you for choosing Brown Veterinary Services for your pet care needs.

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