Internal Medicine - New Consult Request Form in Las Vegas, NV

Thank you for contacting the Internal Medicine department at Las Vegas Veterinary Specialty Center. Due to the high demand for appointments, we are trying to better organize our scheduling process and get more information to serve our patients accordingly. Please provide us with the following information and a team member from the Internal Medicine department will contact you to schedule a consultation for your pet.
Owner/Agent Name:
Pet’s Name:
Best contact person:
Phone #:
Is Texting OK?
- Yes
- No
Email:
Reason(s) your pet is being referred to LVVSC:
Do you feel this is urgent?
- Yes
- No
If yes, please let us know why:
Primary Veterinarian:
Any other Veterinarians your pet has seen:
* We will need complete records (including x-rays) from every Veterinarian your pet has seen to make the best recommendations for your pet. Ideally, these can be sent to us via fax (702-262-7000) or email (records@lvvsc.com; ATTN: Internal Medicine).
Internal Medicine Consultations are scheduled Monday – Thursday. Are there any days of the week you are not available for an appointment?
Are there any other scheduling constraints we should be made aware of (ie, work schedules, you live out of state, your pet receives medications at a specific time, etc.):
Thank you for taking the time to fill out this form. If you feel at any time your pet’s condition is urgent, you can speak with someone in the Internal Medicine department or Veterinary Emergency + Critical Care (702-262-7070) to help determine if your pet needs to be seen sooner. You can also contact your primary Veterinarian for recommendations pending the appointment with Internal Medicine since they know your pet as well
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