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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 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).