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Referral Date: YYY MM DD FAX: (855) 5265322 PLEASE NOTE: all REFERRALS ARE TO BE SENT TO CENTRAL INTAKE. Ray reports of the affected joint MUST ACCOMPANY REFERRAL If no Ray report is available from
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How to fill out veterinary referral form

01
Obtain a veterinary referral form from your primary care veterinarian.
02
Fill out the patient's information including name, species, breed, age, and weight.
03
Provide a detailed description of the reason for the referral and any relevant medical history.
04
Include your contact information and primary veterinarian's contact information on the form.
05
Make sure all sections of the form are completed accurately and legibly.
06
Submit the completed form to the specialist or facility where the referral is being made.

Who needs veterinary referral form?

01
Pet owners whose pets require specialized care or treatment from a veterinary specialist.
02
Veterinarians who are referring their patients to a specialist for further evaluation or treatment.

What is Veterinary Referral - Animal Imaging Form?

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