Rehabilitation Referral Form for Veterinarians

To download and print a Referral Form click here or fill out and submit our online form below. If you are not the pet's regular veterinarian, please include their name as well as your own. Please note, medical history, relevant imaging and laboratory results must be received before we will contact a client and book their appointment. Please send related medical records and X-rays to [email protected] or fax them to 250-598-7740.
  • Date Format: MM slash DD slash YYYY
  • Referring Veterinarian Information

  • Client Information

  • Patient Information

  • If yes, please forward to [email protected]
  • If yes, please forward to [email protected]
  • Hillside Veterinary Hospital may proceed with any necessary diagnostics that a Rehabilitation Veterinarian may recommend (Radiographs, laboratory work, etc.), upon owners consent.
  • Please email relevant records to [email protected]
  • * Please Note: History, medical records and any relevant diagnostic imaging and/or results are required before the owner will be contacted and an appointment booked.