Get Rad Referral Form.06.doc

Filling out the Rad Referral Form.06.doc online can streamline the referral process for diagnostic imaging. This guide provides a clear, step-by-step approach to complete the form accurately and efficiently.

Follow the steps to fill out the Rad Referral Form online.

1. Click 'Get Form' button to access the form and open it in your preferred online editor.
2. Begin with the section labeled 'Referring Veterinarian.' Enter your name, date, and the name of your clinic. Ensure all details are accurate.
3. Fill in the mailing address for your clinic, including city, state, and zip code. This information is crucial for correspondence.
4. Provide your telephone number. You can check the box if you prefer to receive a telephone report regarding the diagnostics.
5. Enter your email address to receive any relevant updates electronically, and specify your fax number if applicable.
6. In the 'Owner' section, enter the pet owner's name followed by details of the pet, including breed, date of birth, and weight.
7. Select the examination type(s) that are relevant by checking the corresponding box. Options include CT, MRI, radiographs, and others.
8. Finally, fill in the history, physical, laboratory, and clinical findings as needed. Ensure all the provided details are clear and concise.
9. After completing the form, you can save your changes, download a copy for your records, print the form, or share it as necessary.

Complete the Rad Referral Form online now to ensure a smooth and efficient referral process.