"GoatWorld Goat 911 Online Request Form"

Name:
Email:
Note: if you expect to receive responses to your situation,
you MUST provide a valid email address above.

City:
State/Country:
If country not on list:
Telephone:
Note: it is at the discretion of a Goat 911 Capri-Medic to call you collect. If you do not want to receive telephone calls regarding this matter, please do not include your telephone number.
GoatWorld Goat911 Policy

Your privacy is respected. Any information that you submit is treated with complete confidentiality. Your responses are used in helping the Goat911 Capri-Medics quickly assess the situation and to recommend a course of treatment. Please understand that Goat911 is not a substitute for the care provided by a licensed veterinarian. You may alternately be referred to seek out the advice or assistance of a veterinarian. Please use your best judgement.

Temperature of goat (required)
Sex of Goat Doe Billy Wether
If you selected "doe", is this doe pregnant? Yes No
Age of Goat
Or if you know the exact age of the goat:
Breed of Goat
When did you first notice this situation?
Do you have access to a licensed veterinarian? Yes No
What (if any) type of medications, antibiotics or treatments have you given this goat since you noticed this situation?

Please list as best as you can what types of medications, remedies, supplements, first aid, etc. supplies that you have on hand.

Please list as best as you can the types of food this goat has had in the last week including sudden diet changes.

Please describe the situation you are requesting Goat911 assistance for

How did you hear about GoatWorld.com?

Email: Contact INFO
Telephone: Contact INFO
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