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Cardiology Referral Form

This form is for veterinarians to submit patient and client information for non-emergency referrals.

If you want to refer a case with known or suspect heart disease on an emergency basis, please call the NC State Small Animal Emergency Service at (919) 513-6911 to speak to an ER team member.

Please provide a brief summary of the patient’s history, exam and diagnostic findings and treatments so that we can schedule your patient according to its level of urgency.¬†Provide any hospital notes, laboratory or diagnostic results which can be attached below. You may also send us previous test results, links to images to our service email at ncstatecardiology@ncsu.edu. Alternatively, large files such as DICOMS or CT scans can be submitted directly to us through our server (see instructions on main information for¬†Referring Veterinarians page).