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Case Referral Form

Use this form if you would like a patient to visit us at Sirius. After submitting this form, please email radiographs, full patient history, and any other relevant information to info@siriusvet.prro.link.

This form should NOT be used for doctor to doctor communication, or to have our doctors review cases. If you are looking for our doctors to offer their assistance or interpretation on your case, please use our Radiograph Interpretation Request Form.

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

Urgency*(Required)
Has the owner been instructed to call Sirius Vet to schedule an appointment?*(Required)
Would you like someone from our staff to contact the owner for scheduling?*(Required)
For fractures/urgent cases, who should we reach out to for scheduling?(Required)

Sex*(Required)
On medications?(Antibiotics, NSAIDs, pain reliever)*(Required)
Has the patient that you're referring been aggressive or anxious while visiting your clinic? *(Required)
If yes, please prescribe an anxiolytic protocol for the patient to use for their visit with Sirius
Did you email any of the following to info@siriusvet.prro.link:*(Required)