Request A Consult

25-Sep-2024

Request A Consult

Consultation – FIP

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The following form should only be used to request an FIP evaluation and treatment plan. To ask technical questions, request website support, and for any account issues; please contact our Webmaster. To ensure a proper reply, please provide specific details and ensure your contact information is accurate. FIP consultation inquires are generally responded too within 2 hours, during regular business hours.

Data collected with this form will only be used to respond to your request for information. For specific details on how we use and safeguard your personal information; please see our Privacy Statement.

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MEDICAL EMERGENCIES

By submitting this form you acknowledge that Noble Manes Clinic & Laboratory does not provide emergency services. If this is a medical or life-threatening emergency, please seek immediate veterinary assistance. You can reach the ASPCA’s Poison Control Center; by phone at 888.426.4435. You can also search for emergency clinics in your area on Vet Locator.

Confirmation/Consent*

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REQUIRED DOCUMENTATION

To provide a proper and thorough diagnostic review we require the submission of a number of files, photos, and video; as outlined in the sections below. This form allows for the uploading of the required media within the form fields. If you are unable to upload the documents here please email them to [email protected] or you may send them by text to 661.220.7222.

Confirmation/Consent*

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GEOGRAPHIC LOCATION

Country*

Thank you for your interest in our Clinic & Laboratory. Unfortunately due to current United States and international pharmaceutical export restrictions, we cannot offer FIP treatments to your geographic location at this time. Would you like to be notified if services become available in your area?

Confirmation/Consent*

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HOW DID YOU FIND US

Source*

Who Can We Thank For The Referral*

Which Platform*

Platform – OTHER*

Which Search Engine*

Search Engine – OTHER*

CONTACT INFORMATION

Name*

Address*

Mobile Phone *

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We use a One-Time-Passcode (OTP) to verify your mobile phone number. Enter your full 10 digit mobile phone number; click VERIFY. You will receive a 6 digit numerical code via SMS text-message, enter this code into the OTP field; click SUBMIT.

Email*

DEMOGRAPHICS

Client Type*

Registered Cattery Name*

Organization Name*

Purebred Animal*

Yes

Breeder's Cattery Name

ANIMAL / DETAILS

Cats Given Call Name*

Breed*

Breed (Other)*

Date of Birth*

Gender*

Weight (lbs)*

Calculated Weight (kg)

ANIMAL / CLINICAL HISTORY

Symptoms / Check all that apply

History of the Animal / Observations

Please upload the following: photos of you cat’s eyes (individually, closeup, without flash), video of your cat walking (toward and away), video of you cat’s breathing (showing both mouth and chest), video of your cat’s open mouth (showing gums and tongue).

File Upload: Photos/Videos

Drop files here or

Max. file size: 50 MB, Max. files: 10.

ANIMAL / BLOODWORK

Do you have Current Bloodwork*

Yes

Date of Report*

Laboratory Results by*

Laboratory (Other)*

Red blood cell markers: low Red Blood Cell (RBC), low Hematocrit (HCT), and low Hemoglobin (HMG). Very often we see all three clustered near or below the low end of normal. This is a type of Anemia that FIP causes. B12 will not help this type of anemia. As you progress with treatment, look for all three to come back up in the normal range.

Bilirubin (TBIL) is a liver enzyme. In most cats, the normal level is low; near the bottom of the normal range. FIP can cause Bilirubin to be elevated. Most often we see TBIL just above the high end of normal. In some cases it is very high.

White blood cell markers: low Lymphocytes, low %Lymphocytes, high Neutrophils, high %Neutrophils. White blood cell levels are reported in two ways: absolute levels and percentage levels. The classic FIP pattern is low Lymphocytes and high Neutrophils. However, quite often the absolute levels are in normal range but we will see the effect of FIP in the percent levels. The Percent levels should be near 40% for both Lymphocytes and Neutrophils. If you see %LYM<20% and %NEU>80%, that is a pretty strong FIP signal.

Blood protein markers: high Total Protein (TP), Low Albumin (ALB), high Globulin (GLOB), low ALB/GLOB ratio (A/G). This is probably the marker set most people are familiar with. Blood test results usually show the A/G normal range to be 0.5 to 1.2, but anything less than 0.6 in the context of other symptoms, is consistent with FIP. An A/G of 0.4 is a moderate FIP signal. An A/G >0.3 is a very strong FIP signal.

Please enter the values from your most recent bloodwork report below:

Red Blood Cell (RBC)

Hematocrit (HCT)

Hemoglobin (HMG)

Bilirubin (TBIL)

Lymphocytes

%Lymphocytes

Neutrophils

%Neutrophils

Total Protein (TP)

Albumin (ALB)

Globulin (GLOB)

ALB/GLOB ratio (A/G)

Please upload copies of any laboratory testing, bloodwork panels, or other diagnostic reports.

File Upload: Laboratory/Blood Panel Reports

Drop files here or

Max. file size: 50 MB, Max. files: 10.

VETERINARIAN EXAMINATIONS

Has the Animal been evaluated by a veterinarian*

Yes

Date of Exam*

Was an FIP Diagnosis Made*

Doctor's Name*

Clinic Name*

Clinic Phone*

Clinic Email*

Clinic Address*

Please upload copies of all veterinary records including: invoices, consultation reports, doctor notes, etc.

File Upload: Veterinary Records

Drop files here or

Max. file size: 50 MB, Max. files: 10.

CONSULTATION FEE

Noble Manes Clinic & Laboratory charges a one-time consultation fee of $45.00 to review and evaluate your cat. If our veterinary teams confirms a suspected case of FIP (Feline Infectious Peritonitis) we will create a specific treatment plan based on the type of FIP suspected; Effusive (wet), Non-Effusive (dry), Neurological, or Ocular. The cost of this treatment plan is based on a combination of the weight of the animal and the dosage (mg/kg) assigned to your case. We will start with a 42 day supply for flexibility as the patient weight changes, and we can assess the effectiveness of the prescribed dose.

FIP Consultation & Documents Review

Price: $45.00

Processing Fee

Price: $0.00

Payment Options

TERMS OF USE & CONTACT CONSENT

(1) By logging into our website you agree to our Terms & Conditions Policy. (2) Information submitted through this form is considered patient/client data and covered under our Confidentiality Policy. (3) Incomplete and/or partial entry forms are not submitted by our system, and therefor will not be responded too. (4) By completing this form you agree to be contacted by Noble Manes Clinic & Laboratory via phone and/or email in response to this form submission.

WITHOUT CONSENT WE ARE UNABLE TO RESPOND TO YOUR INQUIRY.

Confirmation/Consent*

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