Get Fax Referral Form - Guardian Veterinary Centre.

Filling out the Fax Referral Form for Guardian Veterinary Centre online is a straightforward process that ensures accurate communication between referring veterinarians and the specialty care team. This guide provides essential steps and tips to help you efficiently complete and submit the form.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Fax Referral Form and open it in your browser or document editor.
2. In the first section, choose the type of referral you are making: Surgery, Ophthalmology, Internal Medicine, Cardiology, Critical Care, or Emergency. If the referral is urgent, select the relevant 'Stat' option next to the specialty.
3. Enter the 'Date Sent' in the designated field, ensuring it is the date you are submitting the form.
4. Fill in the 'Tentative Diagnosis / Complaint' field with a brief description of the issue that needs attention.
5. Input the referring veterinarian's name, clinic, and full address, including city, province, and postal code.
6. Provide a detailed history and examination findings relevant to the referral in the designated space.
7. Indicate how laboratory data has been handled by selecting one option: Sent with Owner, Emailed, Faxed, or Not Done. If applicable, provide the email address used for sending the data.
8. Complete the 'Owner Information' section with the owner's name(s), address, city, province, postal code, and telephone numbers.
9. Detail any treatments, including medications and doses administered to the patient.
10. Provide a summary of radiographs in the relevant field and follow the same procedure as the laboratory data for indicating its status.
11. Fill in the patient’s information, including name, birthdate, breed, sex, and color.
12. Add any special requests or comments that might assist in the referral process.
13. Once you have completed all sections, review the form for accuracy and completeness. You may then save changes, download, print, or share the completed form as needed.

Complete your Fax Referral Form online today and ensure your patient receives the care they need.