Ultrasound Referral Form

After submitting this form: Please send all medical records, radiographs and lab results to referral@bridgetownvet.com and identify the client/pet name and that the case is being referred for an outpatient ultrasound.
Referring Veterinarian Information
Client Information
Patient Information
Medical History

 

Guidelines for referral:

  1. Non-critical patients only; those in need of urgent medical, surgical or emergency care should be referred to one of those services directly.
  2. If you think that sedation would be necessary for the ultrasound, please provide oral sedatives to your client with instructions to give prior to their appointment.
  3. Once you have filled out all the required fields and hit submit, we will contact your client to make an appointment.
  4. Please clarify with your client that unless there is an emergency, the veterinarian performing the ultrasound will not speak to them upon completion of the study. If a consultation is requested, a separate appointment must be made.
  5. Please encourage your client to read the Client Information Handout that can be found on the website.