This form may only be submitted by a licensed veterinarian. Critical Care and Emergency referrals must be called in to (713) 693.1111
Please email, fax or send copies of radiographs with the owner.
**Please send current lab work, biopsy reports, and medical records with this form. You may select and upload multiple files at once, or attach a single .zip file. We appreciate the opportunity to work with your patients and we look forward to supporting the relationship you have with them.