Internal Medicine Referral Form Test

Level 1 (Urgent) – Should be seen within 6-8 weeks (e.g. effusions, dysphagia or megaesophagus, epistaxis, melena or hematochezia, moderate-to-severe hypoalbuminemia, symptomatic liver enzyme elevations, fever of unknown origin, thoracic or abdominal masses*, rapid weight loss, hyporexic cats) *You may find a traveling ultrasonographer can perform an ultrasound with needle aspirates more timely than referral

Level 2 (Semi-Urgent) – Should be seen within 8-10 weeks (e.g. chronic vomiting, chronic cough including suspected collapsing trachea, recurrent pneumonia, asymptomatic hypercalcemia, mild hypoalbuminemia)

Level 3 (Non-Urgent) – Can wait 10+ weeks (e.g. PU/PD, diabetes (not DKA), asymptomatic liver enzyme elevations, chronic rhinitis, chronic diarrhea)

Level 4 – Second Opinion from a Specialist – If this referral is for a second opinion on a case that is already being managed by another veterinary specialist (e.g., another internist, oncologist, neurologist, etc.). 📌 Important Note: Due to limited availability and appointment capacity within our Internal Medicine Service, we will only accept second opinion referrals initiated directly by the managing specialist, rather than the primary care veterinarian. This ensures continuity of care, clarity of case status, and optimal communication between specialists.

Internal Medicine Referral Form Test

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