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REFERRAL FORMS

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3 ways to submit referral form:

1) Fill out and submit the on-line form below.

2) Download the form, print, and bring in.

3) Fax or Email the form.

Fax:
949.936.0062
Email:
Info@vssoc.com


Client Patient Info Form
(24 KB)
 

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Complete our Online Referral Form

   
  

A collaborative effort between the referring veterinarian, client and our professional staff results in optimal patient care. We provide each referring veterinarian with a comprehensive written report to aid in the continuity of care each patient receives.

Our surgeons provide complimentary radiographic and case consultation to referral veterinarians. We welcome active participation by referring veterinarians in patient management, surgery and aftercare.

VSS offer the best surgical care available. We have the latest technology and can manage complex, critical thoracic and abdominal procedures using the less invasive techniques of thoracoscopy and laparoscopy to expedite recovery times. We have earned a reputation for excellent patient care and outstanding postsurgical management.

Our experienced, professional and courteous staff makes referring cases easy and efficient.

We pride ourselves on providing compassionate care and state of the art surgical services. We continue to advance our education to allow us to attend all the patient's needs. We hope you find our services helpful when you have challenging surgical cases.

 

   
REFERRAL HOSPITAL FORM   PATIENT INFORMATION FORM
*Required fields.    
Doctor's Name*:
Hospital Name*:
Address1*:
Address2:
City*:
State*:

Zip*:

Phone*:
Fax*:
Email*:
Referred By:
 
Client's Name*:
Pet's Name*:
Breed*:
  Other:
Age*:
  Months: Years:
Sex*:

 

Radiographs Sent:

Include ALL Related Files:


*3 MB total file size limit.
 

 


 
Describe the Case:
Diagnostics Performed:
   
Problem:
 
   
 
 

The American College of Veterinary Surgeons offer a discussion on a wide range of health topics affecting small animals.

Click the ACVS logo to visit that site.

 

 

Advanced Veterinary Specialty Group

 

  Veterinary

Surgical

Specialists

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