We’re committed to keeping clients and staff safe during COVID-19 with NEW admittance and check-out processes. Learn more.

Our Emergency and Critical Care service is experiencing an unprecedented caseload, which is resulting in significant wait times. Critical pets will be prioritized.

Thank you for choosing VCA South Shore (Weymouth) Animal Hospital for your patients’ specialty medical care. Below are our referral forms. Please fill out the appropriate form or contact our referral office at 781-335-4919 to refer a patient to our hospital.

 

Patient Referral Form

Patient Referral Form - Please either use this form or the online form at the bottom of the page when referring patients to our specialists. The completed hard copy of this form can be faxed to 781-337-0069 or scanned and emailed to [email protected].


Literature Request Form

Literature Request Form - Please use this form to request literature, brochures or business cards.


Dermatology History Form

Dermatology History Form - Please have your dermatology referral patients fill out this form and bring it to their consult with Dr. Shumaker.


Avian History Form

Avian History Form - Please have your clients fill out this form and bring it to their consult with our Avian & Exotic Animal Medicine Service.


Reptile History Form

Reptile History Form - Please have your clients fill out this form and bring it to their consult with our Avian & Exotic Animal Medicine Service.


Small Mammal History Form

Small Mammal History Form - Please have your clients fill out this form and bring it to their consult with our Avian & Exotic Animal Medicine Service.


Nutrition Forms

For all nutrition referrals, the following must be completed:

Clients must completely fill out the nutrition questionnaire, located here: VCASouthShoreNutrition.com
Referring Veterinarians will need to send a copy of medical records, diagnostic results and fill out the nutrition referral form located here: VCASouthShoreNutritionReferral.com


I-131 Referral Forms

I-131 Referral Form - Please use this form when referring patients for radioiodine treatment. Fax the completed form to 781-337-0069 or email a scanned copy to [email protected] Frequently Asked Questions regarding referring a cat for I-131 treatment.

Behavior Form

Behavior Consultation Client Questionnaire. Please have your clients follow this link to fill out the behavior questionnaire online prior to their pet’s appointment.

Pet Loss Support Group Information

We are pleased to be able to offer a complimentary Pet Loss Support Group to your clients and their families. For more information/a printable flyer, please click here.

Referral Form

All fields are required unless otherwise stated

Some information is missing. Please see below for details.

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Services Requested
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If available, please send the following with your client; patient information to include:
  • Medical Notes/Records
  • Imaging
  • Lab Work Results
  • Treatments, including last time administered
  • X-Rays
  • Other
Guardian Details
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Patient Details
Sex
Tentative Diagnosis/Chief Complaint
History/Physical Findings (optional)
Treatment (including medications and dosages) (optional)
Special Requests/Comments (optional)
We respect your privacy and will not share your information with other parties. For more information, see the Privacy Policy.

Some information was missing. Please see above for details.

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