Get Diagnostic Imaging Referral Form - Veterinary Teaching Hospital

Completing the Diagnostic Imaging Referral Form for the Veterinary Teaching Hospital is an important step in ensuring your patient receives the appropriate care. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the referral form with ease.

1. Click ‘Get Form’ button to access the Diagnostic Imaging Referral Form and open it in the online editor.
2. Begin by entering the referring veterinarian's details. This includes your name and the clinic's name, along with the clinic's address, city, state or province, and zip code. Ensure that all information is typed or written clearly.
3. Indicate whether the patient has been previously referred to WSU by selecting 'Yes' or 'No,' and if applicable, include the WSU clinic number.
4. Provide contact information for the referring veterinarian including phone number, fax number, and email address. This information is crucial for follow-up communications.
5. In the patient identification section, enter the patient's name, species, owner’s name, and breed. If this is a resubmission, include the previous referral number.
6. If the referral includes barium and intravenous pyelogram studies, please indicate the specific times for these studies on the submitted films.
7. Specify the dates of the films submitted and list the areas that were radiographed or the area of concern. This helps the veterinary team to focus on the relevant information.
8. Finally, review all entered information for accuracy and completeness. Save your changes, then download the form, print it, or share it as needed.

Complete your documents online today to ensure timely referrals for your patients.