Referral Forms

Please contact us if you need more information about referring patients to our hospital.

Client Registration Forms

These are our client/patient registration forms. Feel free to print them out and give them to clients you are referring to us so they can fill them out ahead of time and bring them to their appointment. The paperwork also includes directions to our hospital from all areas of the county.

Download Client Registration Form

Patient Referral Form

If you are referring a patient to our hospital, please fill out this referral form and fax it to our hospital along with any pertinent records and lab work. Radiographs can be sent to us through Antech, brought by the client to their visit or emailed to us.

Download Patient Referral Form

Ultrasound Only Referral Form

We offer our "Ultrasound Only" service for your clients in need of an abdominal ultrasound or an echocardiogram who do not require case management.. We will ultrasound the patient while the client waits; the client will be instructed to return to your practice for a consultation regarding the ultrasound findings. We will call you with the results and follow up with a written report suggesting recommendations for case management. Please call us if you would like further information.

Download Ultrasound Only Referral Form

Radiographic Report Form

We offer free radiographic consultations as a courtesy to local veterinarians. All rediographs will be interpreted in a timely manner and you will be contacted by one of our doctors. Please fill out this form and attach it to your radiographs. When emailing us the radiographs or link, please include the client's and pet's information in your email.

Download Radiographic Report Form

Credit Card Authorization Form

In order to process a deposit or payment for your pet’s veterinary care, we will need your written authorization to accept a credit card payment in your absence. Please fill out the following form and return by email or fax.

Download Credit Card Authorization Form

 

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