Garibaldi Veterinary Hospital

Ultrasound

We also offer a state of the art Ultrasound machine that is an extremely effective diagnostic tool. Not only do Dr. Honey and Dr. Angela Dattolico routinely use our Ultrasound machine, we receive many referral ultrasound requests from other Veterinarians throughout the Sea to Sky Corridor and from the Lower Mainland.

Please fill out and submit the ULTRASOUND REFERRAL FORM below and we will respond to you within 24 hours.

ULTRASOUND REFERRAL FORM

* DATE OF ULTRASOUND REFERRAL:

* Client Name:

Client Home Phone:

Client Work Phone:

* Client Cell. Phone:

Best number to reach client to schedule appointment:

Client Address:

Client E-mail:

* Patient Name:

* Species:

Breed:

* Age:

Sex:

F

SF

M

NM

* REFERRING HOSPITAL:

* Veterinarian:

* Daytime Phone:

* After Hours Phone:

* Fax:

Veterinarian E-mail:

REFERRAL TO:

DR. TOM HONEY

DR. PAUL BRAZZELL

* REASON FOR REFERRAL:

REQUEST:

* CLINICAL SIGNS AND HISTORY:

* **PLEASE PROVIDE CURRENT TREATMENTS WITH DATES, TIMES AND DOSES.**

**RELEVANT RECORDS AND LABORATORY RESULTS SHOULD BE FAXED.**

ADDITIONAL CLIENT COMMUNICATION:

RADIOGRAPHS ARE:

Coming with the Owner:

Being Sent by Courrier:

Not Done:

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* Required Field

Click HERE to print an Ultrasound Referral Form that can be filled out manually and faxed to us at 604-898-4808.

Please contact GVH for more information.

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