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  • Angell Diagnostic Imaging Referral Form

      REFERRING VETERINARIAN INFORMATION
    1. Please provide your information.

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    Name:

     

     

     

         

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    REFERRAL INFORMATION

      Please note that your abdominal ultrasound appointment will be scheduled at Angell West in Waltham. Outpatient ultrasound is currently unavailable in Boston. 
     
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      CLIENT INFORMATION
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      PATIENT INFORMATION
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    MEDICAL HISTORY

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    Guidelines for referral:

     1. Non-critical patients only; those in need of urgent medical, surgical, or emergency care should be referred to one of those services directly.

    2. This service does not offer fine needle aspirates or sedation. If either sedation or aspirates are indicated for this exam, the client should make an appoinment with our Internal Medicine service at 617-541-5186 (Boston or Waltham locations).

    3. Once you have filled out all required fields and hit submit on this form, we will contact your client to make an appointment. If the client prefers to call us at their convenience, please indicate this on the form. If you prefer, you may make the appointment for your client by calling: 781-902-8400 ext. 4009. 4. Please encourage the client to read the Client Information Handout

     

    Procedure details: Please discuss the following points with your client prior to their arrival:

    1. Patient should be fasted to allow for optimal evaluation of the cranial abdomen.

    2. The pet's abdomen will be shaved and a complete ultrasound performed.

    3. The client should be instructed to discourage their pet from urinating before the examination as a full bladder can be beneficial when imaging.

    4. Should the ultrasound exam results warrant urgent intervention, at your discretion and in consultation with the client, you should prepare the client for possible admission to the hospital via the emergency service. We will facilitate this process when necessary. Additional fees will be incurred. 

    5. Our doctor will communicate findings to your office via fax, email or rvetlink. You may share the report with the client at that time.

    6. Clients will be encouraged to direct follow up questions to you, their primary care doctor of record. The doctor does not typically speak to the client at the completion of the study.

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    Question - Required - (Please check off the circle)

     

    For further assistance, please call 781-902-8400 ext. 4009  or email: diagnosticimaging@angell.org.

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