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WSU Veterinary Teaching Hospital Diagnostic Imaging Referral Form 2015 free printable template

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FOR OFFICE USE ONLY REFERRAL NUMBER DATE RECEIVED VETERINARY TEACHING HOSPITALITY MAILEDRADIOLOGY SECTION 1002 OUT ROAD PO BOX 647060 PULLMAN, WA 991647060 5093350711 Fax: 5093359432 radiology vetoed.WSU.please
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WSU Veterinary Teaching Hospital Diagnostic Imaging Referral Form Form Versions

How to fill out WSU Veterinary Teaching Hospital Diagnostic Imaging

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How to fill out WSU Veterinary Teaching Hospital Diagnostic Imaging Referral

01
Obtain the WSU Veterinary Teaching Hospital Diagnostic Imaging Referral form from the official website or your veterinarian.
02
Fill out the pet owner's information, including name, address, and contact details.
03
Provide detailed information about the pet, including name, species, breed, age, and weight.
04
Describe the pet's medical history, including any current medications and previous treatments.
05
Indicate the reason for the referral and any specific imaging required (e.g., X-ray, ultrasound, CT scan).
06
Attach any relevant medical records or test results to support the referral.
07
Have your veterinarian sign the referral form, confirming the necessity of the diagnostic imaging.
08
Submit the completed form to the WSU Veterinary Teaching Hospital, either via email or in person.

Who needs WSU Veterinary Teaching Hospital Diagnostic Imaging Referral?

01
Pet owners who have dogs or cats experiencing medical issues requiring advanced imaging.
02
Veterinarians seeking specialized diagnostic imaging services for their patients.
03
Animals needing evaluation for conditions that are not adequately diagnosed through standard procedures.
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WSU Veterinary Teaching Hospital Diagnostic Imaging Referral is a process that allows veterinarians to refer patients for advanced diagnostic imaging services at Washington State University Veterinary Teaching Hospital.
Veterinarians who wish to refer a patient for diagnostic imaging services at the WSU Veterinary Teaching Hospital are required to file the referral.
To fill out the WSU Veterinary Teaching Hospital Diagnostic Imaging Referral, veterinarians should complete the referral form with patient details, medical history, and specific imaging requests before submitting it to the hospital.
The purpose of the WSU Veterinary Teaching Hospital Diagnostic Imaging Referral is to facilitate access to specialized imaging technologies and expertise for the diagnosis and treatment of veterinary patients.
The information that must be reported on the WSU Veterinary Teaching Hospital Diagnostic Imaging Referral includes the referring veterinarian's details, patient identification, clinical history, imaging requests, and any pertinent medical information.
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