Refer a Case Name of Hospital(Required)Referring Veterinarian(Required)Email(Required) Phone(Required)Consent(Required) By providing my phone number, I consent to receive SMS text messages from Southwind Animal Hospital for appointment reminders, and general two-way communication. Msg frequency varies. Msg&data rates may apply. Reply STOP to opt out. Reply HELP for assistance. For more information, please refer to our Privacy Policy (https://southwindpets.com/privacy-policy/) and Terms and Conditions (https://southwindpets.com/terms-and-conditions/).(Required)Owner's Name(Required) First Last Owner's Phone(Required)Pet's Name(Required)Age(Required)Gender(Required)FemaleFemale, spayedMaleMale, neuteredSpecies(Required)DogCatGuinea PigRabbitFerretBirdOtherBreed(Required)Weight (lbs)(Required)Reason for Referral(Required)Exam Requested(Required)Regional Ultrasound (abdominal)Regional Ultrasound (thoracic)Regional Ultrasound (cervical)Additional Radiographs (2-view)Ultrasound-Guided Aspirates or CentesisCytology Interpretation by Pathologist (single/multiple)Echocardiogram24-hour Holter Monitor w/ Cardiologist reviewPertinent History(Required)Please include a basic summary of the chief complaint and physical exam findings. The medical record, images, and test results may be uploaded using the “Add Files” button below.Pertinent Lab ResultsCurrent Medication / TreatmentIs there anything additional we should know about this patient?Your patient's medical record, images, and lab results may be uploaded here. Files may also be sent via email or Dropbox to dvm@etvetus.comMax. file size: 128 MB. For comfort, and if appropriate for your individual patient, please consider providing pre-medications such as gabapentin or trazodone. Panting or anxious patients may require light sedation to obtain diagnostic studies. Please reach out if you have any questions or if you need assistance. Thank you for entrusting us with your patient’s care.CAPTCHA Δ