Referral Forms

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.

Direct to Ultrasound Referral Form

Direct Ultrasound Referral Form - Direct to Ultrasound Form – Please fill out and submit this form for a direct ultrasound with our radiologist.

Patient Referral Form

Patient Referral Form - Please use this form when referring patients to our specialists. Fax the completed form to 781-337-0069. The second page provides directions for your client.

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. The second page provides directions for your client.

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.