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The Veterinary Emergency Group, P.C. 193 Tarry town Road, White Plains, NY 10607 Phone (914) 9498779 Fax (914) 9492393 Patient Transfer Information Dateline NameReferring DVMAddressHospitalCity, State,
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01
Start by gathering all the necessary information such as your personal details, contact information, and pet's information.
02
Carefully read the instructions provided on the form to understand the requirements and specific sections to fill out.
03
Begin by filling out the basic information section, which may include your name, address, phone number, and email.
04
Provide detailed information about your pet including their name, species, breed, age, and any pre-existing medical conditions.
05
If you have insurance for your pet, provide the insurance details and policy information.
06
Fill out the emergency contact section, providing the name and contact information of a person to be reached in case of emergencies.
07
Mention any allergies or sensitivities that your pet may have to medications or substances.
08
Describe the current emergency or reason for seeking veterinary assistance in a clear and concise manner.
09
If your pet has been previously treated by another veterinarian, provide their contact information and any relevant medical history.
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Double-check all the information you have entered for accuracy and completeness before submitting the form.
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Finally, sign and date the form to mark your agreement with the provided information and terms.
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Make a copy of the filled-out form for your records before submitting it to the veterinary emergency group.
Who needs form veterinary emergency group?
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Anyone who requires emergency veterinary care for their pets can benefit from using the form veterinary emergency group.
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What is form veterinary emergency group?
Form veterinary emergency group is a document used to report emergency veterinary incidents.
Who is required to file form veterinary emergency group?
Veterinary professionals and facilities are required to file form veterinary emergency group.
How to fill out form veterinary emergency group?
Form veterinary emergency group can be filled out online or submitted in person at the designated office.
What is the purpose of form veterinary emergency group?
The purpose of form veterinary emergency group is to track and monitor emergency veterinary incidents.
What information must be reported on form veterinary emergency group?
Information such as date of incident, type of emergency, animal species involved, and outcome must be reported on form veterinary emergency group.
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