CT/Fluoroscopy Referral Form

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Please complete our CT/Fluoroscopy Referral Form below.

Referring Veterinarian Information:

Patient Information:

(required for CT)
(required for CT)

Owner Information:

When sending cases for radiologist interpretation, the patient history is the most important part of the submission. This is what the cost for interpretation is based off, so make sure that your history is thorough and clearly defines your area of concern. If this is unclear, the client may be overcharged or the CT may be under interpreted. For example; An imaging stack may include the skull, neck, and thorax on a small patient but you are only concerned about the skull because the patient has a head tilt. If you do not make that clear in the history, we could be charged for 3 sites instead of 1. * A site is defined as 1 area of concern. For example, “abdomen” is 1 site. “Skull” is also 1 site. If a pet is limping on their hind leg, the entire area from Hip to Toe is 1 site. We will submit exactly what is written below.

Clear Signature

Caring medicine for all animals.

If you live in Valparaiso or the surrounding area and need a trusted veterinarian to care for your pets – look no further. Arbor View Hospital Team is a licensed IN veterinarian, treating all types of pets. Your pets’ health and wellbeing are very important to us, and we take every possible measure to give your animals the care they deserve.

Location

244 West U.S. Highway 6
Valparaiso, IN 46385
Click here for directions.

Hours

Monday: 8:00am – 8:00pm
Tuesday: 8:00am – 8:00pm
Wednesday: 8:00am – 6:00pm
Thursday: 8:00am – 8:00pm
Friday: 8:00am – 6:00pm
Saturday: 8:00am – 1:00pm
Sunday: Closed

Contact Info

Phone: (219) 762-7267
Fax: (219) 763-9425
Email:  arborviewah@gmail.com

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