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Oncology Referral Form
The goal of an oncology consultation is to discuss treatment options and prognosis for a specific type of cancer. In order to provide the best medical care for our patients and their families, a diagnosis of cancer and completed referral forms are required prior to scheduling.
Primary Care DVM Oncology Referral Form
Please fill out the form as completely and accurately as possible so we can get to know your patient prior to the appointment. This form is to be filled out by the referring DVM.
If you choose to download and print the form, you can fax to 434-260-3822 or scan and email to firstname.lastname@example.org.