Thank you for choosing us!

Veterinary Radiology Consult Form

Radiology Consult Form

Please fill out the form as completely and accurately as possible so we can get to know your patient prior to calling. The attached information will be reviewed as a courtesy by a Virginia Veterinary Specialists DVM, Diplomate ACVS-SA(Surgery). Once reviewed one of our specialists will call to discuss their findings. Please allow 24-48 hours for review. If this is an emergency, or if your patient needs urgent care, please call us at 434-202-2987 for a faster response. This form is to be filled out by the referring DVM. Thank you for your submission.

Primary Care Vet's Information

Client Information

Patient's Information

Additional Information

Click or drag files to this area to upload. You can upload up to 6 files.