Veterinarian's Referrals - Los Angeles Animal Specialty Emergency & Rehabilitation

Veterinarian’s Referrals

First Name(Required)

Last Name(Required)

Clinic(Required)

Email(Required)

First Name(Required)

Last Name(Required)

Phone(Required)

Client's Email(Required)

The client will automatically receive an email that we have received your ultrasound referral along with detailed instructions.

Patient's Name(Required)

What is your pet's species?(Required)

Canine

Feline

Weight (kg)(Required)

Breed(Required)

Age(Required)

Sex(Required)

Client must be made aware of every topic prior to being referred to VSC for a non-urgent ultrasound.

Any size files can also be uploaded below.
Records can also be sent separately to help@vetspecialty.com.

Reason for Non-urgent Ultrasound(Required)

Primary Problem(s)(Required)

Pertinent Medical History(Required)

Diagnostic Tests Performed/Results(Required)

Type NONE if applicable.

Current Medication(Required)

Type NONE if applicable.

Previous surgical and/or other procedure(s) and date(s)(Required)