Referrals | Sarnia Veterinary Urgent Care

Referrals/Veterinarians

We accept Patient transfers for Surgery, Hospitalization/Treatment, Monitoring and overnight care.

If you are a referring veterinarian and want to send a patient for hospitalization care or other services, please call the clinic to speak to a doctor and send us the completed PATIENT HISTORY FORM to info@sarniaveterinaryurgentcare.com

Pet Owners

If you are a Pet Owner and Looking for emergency services, please contact +1 (519)332-0007 or +1(519)402-3589

Referral forms for Veterinarians

Please fill the Form on your right side or Download the PDF/Doc. form below and fill the required information. Please send filled patient transfer form and patient records including Diagnostic test results and Images to info@sarniaveterinaryurgentcare.com

Name of the patient *

Date of Birth *

Species of the patient *

Canine
Feline
other

Specify Other species

Breed of the patient *

Color of the patient *

Owners First and Last name *

Owners Address *

Owners Email address *

Owners Phone number *

Alternate contact

Referring Clinic Name *

Contact Number For The Referring Clinic *

Email Address For the Referring Clinic *

Attending Veterinarian Name *

Primary Reason for the Transfer *

Relevant Patient History *

Physical exam findings and Assessment *

Diagnostic Test Done and Findings *

Any ongoing Treatment and Medications? Name Dosage, frequency and time of last dose? *

When was each medication administered last time, if any? *

Please indicate if any special care or Continuous treatment you want us to do *

CPR status *

yes
No

Do you want patient transferred back on your regular hours? *

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