Farm Animal Consult Form

This service is for veterinarians only – clients seeking medical information should contact their regular veterinarian for assistance.

This information will be routed to the Service that you request. We will do our best to respond as soon as possible. This will generally be within 48-72 hrs of submission. If you have not had a response within that time, please call the Service directly. Because consults are often addressed at the end of the day, please provide contact information for the late evening, if possible.

What is your preferred contact method?

By Phone

By Email

Best hours to contact

Veterinarian Contact Information

Veterinarian to contact(Required)

Clinic(Required)

Clinic Phone Number and / or Alternate Contact Number(Required)

Clinic Fax Number

Clinic Email

Owner Contact Information

Name of the owner

First Last

Owner Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner Email

Information about the patient

Has this patient ever been seen by any service at NC State Veterinary Hospital?

Yes

Not Sure

Patient/Pet Name(Required)

First

Species(Required)

Date of Birth or Age

Breed

Weight (please specify lbs or kgs)

Color

Gender

Reason for Consult

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.