OPEN 7 DAYS A WEEK INCLUDING SATURDAY & SUNDAY. PLEASE CALL FOR URGENT CARE AVAILABILITY

Surgery & Diagnostics Referral Form

Name: Cascade Veterinary Referral Center
Address: 11140 SW 68th Pkwy, Tigard, OR, 97223, US
Telephone: (503) 684-1800

Referring Veterinarian *

Referring Clinic *

Referring Clinic Phone *

Referring Clinic Email *

Client Information

Client Name *

Phone Number(s) *

Patient Information

Patient’s Name *

Species *

Dog

Cat

Patient Age/Date of Birth *

Patient Sex *

M

MN

F

FS

Breed *

Medical Information

Presenting Complaint *

Preliminary Diagnosis *

Referral Service *

Surgery

CT

Diagnostics

Pertinent Medical History: *

Diagnostics *

Other Pertinent Information

Please include all pertinent records and images in order to facilitate your patient’s referral!

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New Patients Welcome

Cascade Veterinary Referral Center is accepting new patients! Get in touch with us today for information on how to book a specialty appointment for your pet.

Contact Us

Book Online (503) 684-1800