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Oncology Referral Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Referring DVM Oncology Referral Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 434-202-2987 for a faster response.

If you choose to download and print the form, you can fax to 434-260-3822 or scan and email to info@vavetspecialists.com.

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.

Patient Information

Please respond to the following statements:

***Please call to discuss if you answered “no” to any of the below questions.***

Please respond to the following statements:

***Please call to discuss if you answered “yes” to any of the below questions.***
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