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Veterinary Referral Form

We are looking for:

  1. A basic summary of the case

  2. Pertinent lab results

  3. What meds have been tried and with what success

  4. Generally what you/client are looking to gain from this consult

  5. Please refrain from entering "see records". A brief summary for each section is requested

  6. Please attach and send the records with this form. You can alternatively email the records to contact@vogelvetderm.com, or fax to 603-379-8643​

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