So here is my main hotkey set up. I thought this might be helpful to someone out there.
The number in parenthesis is the number key it is tied to on my keyboard.
Healing (1)
Cast Jorra's Mending
Slow (2)
Cast Sha's Reprisal
Include /g pulling %t message if puller
Spell hotkey (3)
Bind bottom 4 spells to number key 3
Leave Shout at the Moon as manual cast
Raid assist (4)
/assist raid
Combat hotkey (5)
/discipline rush rk. II
/doability 3 kick
/alt activate 247 Feral Swipe
/alt activate 986 Bite of the Asp
/alt activate 11080 Chameleon Strike
Group assist (6)
/assist group
Def disc (7)
/alt activate 458 Warder's gift
/alt activate 444 Companion's Sacrifice
/bandolier activate Defense
I manually click off BV and click Prot disc if necessary
Pet Back off (

/pet back off
Kick ATK (9)
/discipline Bestial Vivisection rk. II
/attack on
/doability 3 kick
Pet attack (10)
/pet attack
Disc buttons (not tied to number keys. manual click)
BA!
/alt activate 443 Bestial Bloodrage
/discipline Bestial Vivisection rk. II
/discipline Nature's Fury rk. II
/alt activate 245 Bestial Alignment
/g <<< BURN DISC >>> Nature's Fury! 100 hands for 48 sec
manually click glyph or Circle of Power before burn
EF!
/alt activate 443
/blockspell add me 27099 27099 is short buff of BV
/blockspell remove me 27099
/alt activate 124 Frenzy of Spirit
/discipline Empathic Fury
manually click glyph or Circle of Power before burn
Miscellaneous
/alt activate 11073 FD
/discipline flurry of claws rk. II
/stance reactive (to put merc in to reactive stance)
/blockspell add me 27099 27099 is short buff of BV
/blockspell remove me 27099