Use this form to add patients to your previously scheduled appointments
SUBMITTING THIS FORM DOES NOT PUT YOUR CLINIC ON SEVC'S SCHEDULE
Upon submission, a confirmation email will be sent to the email address entered into this form. If your clinic does not receive this email please re-submit or contact SEVC as it likely did not go through
Up to FOUR cases can be evaluated per consult appointment - email info@sevetcardiology if additional cases are desired
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Ideally, these forms are filled out by the veterinarian or a medically-trained staff member who knows details about each case.
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Due to the lack of time available to review records at the clinic during each consultation, please fill this form out in its entirety with pertinent details for the consultation. If desired, records can be also be attached or emailed to: referrals@sevetcardiology.com.
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PLEASE DO NOT WRITE "SEE RECORD/RECORDS ATTACHED" or "ask DVM" - all pertinent information to the consultation should be included on the patient info form
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If no/limited/incorrect information is provided, SEVC's recommendations may be inaccurate. Fill out a form for every case with current details.
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Email info@sevetcardiology.com with any questions
ADDITIONAL INFO: Keep track internally (on your clinic's own schedule) of what patients are scheduled for each appointment. Each clinic is responsible for scheduling/confirming dates with clients. Please consider taking deposits to limit cancellations. Patient info submissions are required - otherwise your appointment may be cancelled or case time given to other clinics if it appears to SEVC that no patients are scheduled. If a change in medication dosing or clinical signs/condition occurs after submitting the info form, please update SEVC - otherwise we will not know about these changes Please note that the online scheduler and patient info forms are separate. The online scheduler creates the time reservation only - it is not involved with patient submission. The patient info form is just to provide information for each patient you wish SEVC to evaluate during the reserved time. ***Email will be the primary method used to confirm/adjust consultations - please include a monitored, general clinic email address to prevent delays.*** See information about travel and cancellation fees on the scheduler page (at bottom) Any records can be submitted using the link below the patient info form or by emailing them to referrals@sevetcardiology.com
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