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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
*
Date Format: MM slash DD slash YYYY
Reason for Referral
*
Mobility Assessment/Rehabilitation – General/Lameness
Mobility Assessment/Post Surgical Rehabilitation
Mobility Assessment/Conditioning/Sporting
Mobility Assessment/Rehabilitation - Neurologic
Chiropractic – Dr. Newman, Dr. Abrioux, Dr. Keller
Acupuncture – Dr. Chan, Dr. Lareau
Stem Cell Therapy – Vetstem – Dr. Abrioux
Referring Veterinarian Information
Referring Hospital
*
Referring Veterinarian
*
First
Last
Phone
*
Fax
Veterinarian Email
Client Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Home Phone
*
Cell Phone
Work Phone
*
Email Address
*
Client's Preferred Contact #
*
Patient Information
Patient Name
*
Species
*
Breed
*
Colour
Sex
Birth Date
Temperment
Medical Conditions (and any medications)
*
Primary Concern
*
Is it Urgent?
*
Yes
No
Third Choice
Tentative Diagnosis
Recent Radiographs?
*
If yes, please forward to
[email protected]
Recent Laboratory Workup?
*
If yes, please forward to
[email protected]
Consent to perform diagnostics?
*
Hillside Veterinary Hospital may proceed with any necessary diagnostics that a Rehabilitation Veterinarian may recommend (Radiographs, laboratory work, etc.), upon owners consent.
Related Surgical and/or Other Procedures Performed (include dates)
Injury Summary
Please email relevant records to
[email protected]
Current Medications and Dosages
Current Supplements
Any known concerns or contraindications to rehabilitation modalities? (such as neoplasia, cardiac disease, etc)
* 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.
Our Story
• Our Team
• Our Blog
• Patient Photo Gallery
Services
• General and Preventive Medicine
• Diagnostics
• Surgery
• Dentistry
• Acupuncture
• Chiropractic
Rehabilitation
• Rehabilitation
• Hydro Treadmill
• Mobility Assessment
• Neuromuscular Electrical Stimulation
• Laser Therapy
• Stem Cell Therapy
• Massage
• Rehabilitation
• Physical Therapy and Rehabilitation Exercises
• Sports Therapy
• Chiropractic
• Acupuncture
• Rehabilitation Gallery
• Assisi Loop
Resources
• Pet Health Library
• How-To Videos
• News
• Forms and Documents
• Links
Contact
• Rehabilitation Referral Form
Book Now!
Food and RX Orders
• Rx Refill Request
Pet Food Requests – Webstore