Radiograph Interpretation Request Form

Sirius Vet’s radiograph interpretation request form is only to be used by veterinarians requiring assistance with a case and/or radiographic interpretation. Patient history and radiographs must be emailed to info@siriusvet.prro.link. We will only contact veterinarians in regards to any inquiries submitted using this form.

This form should NOT be used for patients being referred to us. For any patients that are being referred to us, please use our Case Referral Form

Please note: Treatment advice cannot be provided by Sirius directly to owners prior to an appointment here

When did the injury occur or symptoms begin?*(Required)

Referring Veterinarian*(Required)

Clinic Name*(Required)

Preferred method of contact*(Required)

Phone

Email*(Required)

Telephone*(Required)

Client’s Name*(Required)

Patient's Name*(Required)

Patient's Breed*(Required)