Refer a Patient to TACC

If you are a veterinarian and would like to refer a case to The Animal Cardiology Center, please complete the form below. Should you have any questions, please call us at (212) 722-0449.

Refer a Patient

If you are a veterinarian and would like to refer a case to The Animal Cardiology Center, please complete the form below. Should you have any questions, please call us at (212) xxx-xxxx.

Referral Form

REFERRING VETERINARIAN INFORMATION

Doctor's NameHospital NamePhoneFaxEmail AddressHow do you prefer to be contacted about this case?

OWNER INFORMATION

Full NamePhoneAlternate PhoneEmail Address

PET INFORMATION

Pet's Name

PEt AGe

Species

Breed

Gender

Are you planning to prescribe this patient corticosteriods?reason for referrallist of comorbiditiesCurrent Medicationsis the patient scheduled to have anesthesia? if yes, when?Please upload any documents or images related to this case:

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Key Veterinary Cardiology Diagnostic Services

Electrocardiography

Holter Monitor - Ambulatory EKG/ECG

Electrocardiography

Thoracic Radiography

OFA-Certified Breed Screenings

Echocardiographic Studies