Customer Service Contract & Physiological Profile
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Home or Business Phone Number
Additional Phone Number
Your Dog's Personal Information
Your Dog's Name
Age (estimate if you do not know)
Known Allergies and Pre-Existing Medical Conditions (if any). Please be specific.
Is your dog currently taking and vet-prescribed medications?
If so, which one(s) and for which condition(s)?
Does your dog have any dietary restrictions?
If so, what are the dietary restrictions?
Is your dog currently receiving any type of homeopathic treatment?
If so, which one(s)?
Any other modality (naturopathy, ayurvedic, etc?)
Do you currently give your dog any Nutriceuticals or Botanicals?
If yes to any of the above, which one(s)?
Have you ever had your dog tested for Hair and Mineral Analysis (HTMA)?
If yes, what were the results?
What supplements, if any, are you administering to your dog?
Has your dog ever had any adverse reaction to any particular food or food group?
If so, which one and what was the reaction?
Would you like us to help you set up a Health Savings Plan for your dog? (optional)
Our Holistic Programs
Diets for Life Holistic Wellness Program
Includes our advanced dietary recommendations, use of essential oils/reflexology and exercise physiology. Our focus is on balancing all body systems and maintaining systemic uniformity. This program is geared towards pets who are healthy and have not been diagnosed with any debilitating diseases.
Back to Square One Approach
- Our Back to Square One Approach is specifically designed to help pets who may be suffering from cancer, diabetes, heart disease, liver and kidney dysfunction and a whole host of other maladies. It employs the usage of
detoxification 1st, juicing, short tem fasting, systemic balance, biologically appropriate food, exercise physiology and stress management.
Diet & Consultation Plans
- A delectable serving of meats (organ, muscle meats, etc). Raw meaty bones and our own personal trimmings are guaranteed to be in alliance with the Paleolithic/Ancestral diets that dogs ate long before domestication.
Include raw meaty bones?
Diets for Life
Home-Cooked Diet Plan contains a veritable smorgasbord of Meats (Steak, Chicken, Turkey, Pheasant, Lamb, Organ Meats, etc.), lightly cooked Vegetables, Mushrooms, Legumes (small amount) and a smattering of low glycemic carbohydrates (
: Carbohydrates are NOT required nutrients for Dogs). All
Diets for Life
plans are 100% Gluten-Free.
- The consensus is that Life on our Planet originated in the Seas. This Diet-Plan puts special emphasis on Seafood , Essential Fatty Acids, Cooked Vegetables, small amounts of low glycemic fruits and our own special brand of essential nutrients to help balance the critical calcium to phosphorous ratio that is so critical to your dog’s well-being.
- A mixing and matching of our other Diet Plans. Prep Work for this Diet Plan
can be reduced to a few hours monthly
, although if freshness and efficacy are paramount in your mind, some additional time may be required on your part. Our own personal trimmings and recommendations help make this the most comprehensive, well-balanced Diet Plan available.)
In Home Consultation
(* Outside of our (15) mile geographical home base (Hamilton Square, NJ) add .50 cents/mile
Consultations via PDF File in the USA
(* With unlimited phone privileges)
Consultations via PDF File worldwide
(* Phone consultation not included)
We will travel up to a 15-mile radius of our home base (Hamilton Square, NJ)
charge additional gas mileage rates of .50 cents/mile with our Diet Consultations)
We will travel up to a 25-mile radius of our home base (includes Newtown, PA and Yardley, PA)
Live well beyond our 25-mile max radius? No problem! We can write up a specific diet plan that meets your dog's nutritional requirements and send via PDF file or send via USPS Priority or overnight mail (exact USPS rates apply for overnight mail)
Additional in-home consultation follow up visits will be at 1/2 price.
Payment methods accepted
Paypal, personal checks, money orders, and cashier's checks.
All checks must be made payable to
Paypal payments to
All modes of payment must clear
to any consultation.
About the consultation
Consultations are done in the comfort of your Home. We recommend having as many Family members as possible present when we do our Visit (Or those that will be feeding your Dog on a regular basis). Our
System is quick and easy to learn.
We will supply enough food for (3) regular feedings
. We will vary food selections for all (3). Subsequent to that, the Customer will be responsible for providing all food and related food preparation apparatus (Blenders, Food processors, Juicers, etc.).
Diets for Life
plans come with unlimited phone consultation.
Customer's Digital Signature
About Diets for Life
Contact Jim Miller
Diets for Life
Jim Miller, owner
Hamilton Square, NJ