Get Arizona Veterinary Specialists Referral Form

The Arizona Veterinary Specialists referral form is essential for facilitating the transfer of a patient from one veterinary provider to another. This guide will walk you through the process of completing the form online, ensuring a smooth referral experience for both you and the client.

Follow the steps to complete the referral form effectively.

1. Click ‘Get Form’ button to obtain the referral form and open it in the online editor.
2. Fill in the referring veterinarian’s name, hospital name, and relevant contact details, including phone number and email.
3. Enter the date of referral in the designated field.
4. Provide the client’s name(s) and their home and cell phone numbers.
5. Complete the patient’s information by entering the patient’s name, species, breed, sex, color, and age.
6. Specify the primary complaint or reason for referral in the designated field.
7. Indicate whether the patient has been altered by selecting 'Yes' or 'No'.
8. If additional information is necessary, attach additional pages as required.
9. Ensure all radiographs, CT, MRI, and ultrasound images are prepared for sharing with the client.
10. Fax any original lab reports and medical records directly related to the patient’s condition to the Arizona Veterinary Specialists.
11. Review all entered information for accuracy before finalizing.
12. Once completed, save changes, download, print, or share the form as necessary.

Submit the Arizona Veterinary Specialists referral form online for a seamless referral process.