Refer A Patient | Central Veterinary Hospital

At Central Veterinary Hospital, we partner with local veterinary clinics to provide advanced CT imaging for their patients. Our state-of-the-art CT scanner delivers high-resolution, 3D imaging to assist in diagnosing complex medical conditions. If your clinic needs specialized imaging for a patient, use the form below to submit a referral. Our team will coordinate the scan and provide comprehensive imaging reports to support your continued care.

Referring Veterinarian(Required)

Referring Hospital(Required)

Phone(Required)

Email(Required)

Owner's Name(Required)

Owner's Telephone Number(Required)

Owner's Email Address(Required)

Pet's Name(Required)

Pet's Age(Required)

Pet's Gender(Required)

Species(Required)

Breed(Required)

Weight (lbs)(Required)

How soon would you like this case to be seen?(Required)

Reason for Referral(Required)

Pertinent History(Required)

Current Medication / Treatment(Required)

Does this patient have a history of aggression?(Required)

Is there anything additional we should know about this patient?(Required)

Please upload your patient's medical records including all lab results, images and radiographs in JPEG format. We request at least one year of patient records and any other pertinent records including previous ultrasound reports. Please feel free to contact us if you have any questions.(Required)

Max. file size: 100 GB.