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5131 Morning Sun Rd, Oxford, OH
(513) 523 3234
info@oxvet.com
Oxford Veterinary Hospital
Emergency
About us
Meet the Team
Services
Our hospital
Schedule appointment
General Practice & Surgery Appt
GP & Surgery – New Patient Form
GP & Surgery – Current Patient Appt Request
Internal Medicine – New Patient Form
Patient Resources
Library
Blog
Videos
Contact us
Internal Medicine Specialist
Internal Medicine – New Patient Form
Videos
For Veterinarians
Oxford Veterinary Hospital
Emergency
About us
Meet the Team
Services
Our hospital
Schedule appointment
General Practice & Surgery Appt
GP & Surgery – New Patient Form
GP & Surgery – Current Patient Appt Request
Internal Medicine – New Patient Form
Patient Resources
Library
Blog
Videos
Contact us
Internal Medicine Specialist
Internal Medicine – New Patient Form
Videos
For Veterinarians
Outpatient Ultrasound
Referral Form
Clinic Name
*
Referring Veterinarian
*
Clinic Email
*
We will send the ultrasound report to this email within 3 hours of the appointment.
Patient Name
*
Species
*
Canine
Feline
Other
Patient Age
*
Sex
*
SF/NM/F/M
Spayed female
Intact female
Neutered male
Intact male
Breed
*
Clinical signs and duration? Relevant history and lab findings? Clinical question to answer?
*
Client Name
*
Client Phone
*
Client Email
*
Upload file
Upload any relevant labs, doctor's notes, and radiographs. Please email info@oxvet.com if there are additional files you would like us to have.
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Phone call requested
I would like a phone call to discuss the results in addition to the written report via email.
Outpatient ultrasound request
*
I am requesting an outpatient ultrasound without an IM consultation. Results will be emailed to me to relay to the client. If FNA or any follow up lab work questions are desired, an Internal Medicine consultation will need to be scheduled to establish a relationship with the patient and client.
Yes, I understand.
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