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Surgery Ultrasound Referral Form - Points East Veterinary 2026
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- Click ‘Get Form’ to open the Surgery Ultrasound Referral Form in the editor.
- Begin by entering the current date in the designated field at the top of the form.
- Fill in your information as the referring veterinarian, including your name, clinic name, address, phone number, and fax number.
- Next, provide client information by entering the owner's name, address, and contact numbers (home, work, and cell).
- In the patient/pet information section, input details such as the pet's name, species, breed, color, sex, birthday, and weight.
- Detail the reason for consultation and any relevant history in the provided space. Check off any diagnostics that have been performed or sent.
- List vaccine history ensuring pets are current on rabies vaccination. Include dates and results for each vaccine/test.
- Indicate if the animal is on monthly heartworm preventative and provide details about the last dose.
- Finally, ensure that complete records and history are faxed prior to appointment as indicated at the bottom of the form.
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What is a vet referral?
A referral takes place if your normal vet decides that they cannot provide the level of expertise or facilities required to treat your pet in the best way possible.
What is a vet referral hospital?
Referral Hospitals are positioned as being another level up. Referral Hospitals offer more advanced equipment, and the veterinary surgeons are usually specialists or advanced practitioners. Essentially, a Referral Hospital specialises in taking complex cases that are referred by other vets.
Are referral vets more expensive?
Referral to a specialist is generally more expensive than a general practice veterinarian. If your pet is insured, the cost is usually covered by the insurance company. It is your responsibility to check with your pet health insurer and to make any appropriate financial arrangements prior to your referral appointment.
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What does referral mean on a pet insurance claim?
Some insurance companies will not process our claim until they have received the claim from your regular veterinary practice, which referred your pet to us. It is, therefore, important that you ensure your regular veterinary practice has submitted their claim form to your insurance company.
Related links
You can also use our online referral form on our website, vethospitals.ufl.edu, 352-392-2235 imaging, surgery, by the use of ultrasound, fluoroscopy and
May 9, 2019 This form should be placed on the top of the MPL trying to assess soft tissue structures not easily accessed by an ultrasound probe or are