Referring Veterinarians | Focused Pet Care Referral and Emergency Center Hospital

Referring a Patient

Focused Pet Care Referral & Emergency Center is proud to serve as a referral partner, providing emergency and specialty care for your patients when needed.

When referring a patient to us, you’ll always remain the primary veterinarian and an integral part of your patient’s healthcare team.

We are proud to be an extension of the quality care you provide to your clients and their pets. Thank you for your ongoing support.

Please fill out the form below and email any additional medical records and x-rays to:

info@focusedpetcare.com

Referral Form

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Referring Veterinarian Details

Veterinarian's Name*

First Last

Referring Hospital*

Preferred Email*

Preferred Phone*

Owner & Patient Details

Owner Name*

First Last

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pet's Name

Breed

Age

Sex

Medical Details

Service Requested*

Emergency

Surgery

Summary of Problem & Current Treatment*

Diagnostic Tests & Laboratory Data

Max. file size: 15 MB.

Radiographs

Max. file size: 15 MB.

Explain Radiographs

Other Diagnostics

Max. file size: 15 MB.

Current Medications

Name

First Last

Date