Veterinary Referrals

Date:

Please mark the status of the appointment:
UrgentNext Available Appointment

*Please call our hospital at 512-343-2837 if you would like to speak with one of our specialists or emergency doctors if your patient is in need of immediate care.

Please mark the service needed for the patient below:
Surgery and OrthopedicsNeurology and NeurosurgeryInternal MedicineInterventional RadiologyOncologyCritical Care

Specified Doctor (optional):

Reason for Referral/Primary Complaint:

Clinic Information:

Referring DVM:

Clinic Name:

Phone:

Fax:

Email:

What is your preferred contact method?
PhoneEmailFax

Client/Patient Information:

Client Name:

Co-owner Name:

Phone:

Email:

Patient Name:

Breed:

Sex:
MaleNeuteredFemaleSpayed

Age/DOB:

Weight (lbs/kg):

Medical Records, Pertinent Labwork, and Radiographs:

Have radiographs been taken?
YesNo

Date of Most Recent Study:

Has labwork been performed?
YesNo

Date of Most Recent Labwork:

Do you anticipate this patient to need an ultrasound?
YesNo

Have medical records, lab work, and/or radiographs:
Been FaxedE-MailedOwner Bringing

If you have any questions or concerns regarding your referral, please call our hospital at 512-343-2837 so we can assist you further.

If you would like to set up an online veterinarian referral portal login, please email portal@austinvets.com.

For any technical issues with your referral portal, please email portal@austinvets.com.

Thank you for trusting AVES with your patient’s care and for your continued collaboration!

Δ