William R. Pritchard Veterinary Medical Teaching Hospital

Vet Med Teaching Hospital

Information for Veterinarians


Patient Referral

Date:
This will introduce my client:
and patient named:
Referred by Dr:
Address:
City:
Phone Number:


Please indicate the level of communication you prefer on this case:

Written case summary is sent to all referring veterinarians within 10 days of discharge.
Phone call within 24 hours of arrival.

Phone call when significant event occurs, i.e., a diagnosis is made, patient condition changes, etc.
Communication by fax is acceptable. My fax number is_______________________
Communication by e-mail is acceptable. My e-mail address is__________________

Case history including duration of illness, signs observed, laboratory results, radiographic results (include radiographs), surgical/medical treatment received, immunizations diet, etc.

 
 
 
 
 
 

 Suggestions and comments by Referring Veterinarians:

 
 
 
 

 Please call one of the following numbers for an appointment:
 

Small Animal Clinic: (530) 752-1393

Large Animal Clinic: (530) 752-0290