Cedarwood Veterinary Hospital Referral Form

Name: Cedarwood Veterinary Hospital
Address: #1 7644 Gaetz Avenue, Red Deer, AB, T4P 2A8, Canada
Telephone: 403-347-2676

Referral for:

Surgery

Ultrasound

Dermatology

Rehabilitation

Reproduction

Emergency (please call the clinic at 403-347-2676 or Animal Emergency Hospital at 403-347-3277)

Date:*

Reason for Referral:*

Referring Clinic:*

Referring Doctor*

Would you like us to contact the client to set up the referral or contact your clinic?*

Client Name:*

Contact Numbers:*

File has been sent by:*

E-Mail

Fax

Uploaded

Patient Name:*

Breed:*

DOB:*

Sex:*

History/Presenting Problem/Physical Exam:

Diagnostics/Treatments Performed: Upload Documents (Send us patient files, lab work, radiographs, etc.)

EMR sent to referring clinic

Upload Documents or email documents to referral@cedarwoodvet.ca

Cedarwood Veterinary Hospital

#1 7644 Gaetz Avenue

Red Deer, AB T4P 2A8

Phone

Email

Hours

Monday & Wednesday:
7:30 AM – 9:00 PM
Tuesday, Thursday, Friday:
7:30 AM – 5:30 PM

Cedarwood Vet Hospital

Animal Emergency Hospital

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