Meet the Specialists
What to Expect: Surgery
Cranial Cruciate Ligament Injury
Femoral Head and Neck Ostectomy (FHO)
Minimally Invasive Surgery
Laparoscopy & Thoracoscopy
What to Expect: Internal Medicine
Minimally Invasive Techniques
What to Expect
Online Referral Form
Oncology Referral Form
Cardiology Phone Consult
Client Information Form
Oncology Referral Form
Download & Print
The goal of an oncology consultation is to discuss treatment options and prognosis for a specific type of cancer. In order to provide the best medical care for our patients and their families, a diagnosis of cancer and completed referral forms are required prior to scheduling.
(please assist us by printing):
State / Province / Region
ZIP / Postal Code
Primary Care Veterinarian:
Please select one of the following:
This patient has a confirmed diagnosis of ________ made via official cytology or histopathology. Please attach the pathology report.
This patient has a mass in the urinary tract and has been diagnosed with urothelial carcinoma/transitional cell carcinoma via detection of mutated cells on urine Cadet BRAF analysis. Please attach the BRAF results.
This patient has a lytic/proliferative bone lesion with a history and signalment suggestive of osteosarcoma. Please attach the x-rays and radiology report.
This patient has an anal sac mass with a history and signalment suggestive of anal sac adenocarcinoma. Please note that perianal masses and masses originating from the colorectal mucosa do not fit into this category.
This patient has another finding that is highly suggestive of malignant neoplasia. Please provide a brief description and call to discuss prior to referral:
Confirmed Diagnosis of:
Please respond to the following statements:
The primary reason for referral is related to a recent diagnosis of cancer.
This patient is up-to-date on vaccines and monthly preventatives
This patient has had a negative heartworm test within the past 12 months.
This patient is otherwise stable.
***Please call to discuss if you answered “no” to any of the above questions.***
This patient is currently under the care of another oncologist or specialist.
This patient is currently receiving Apoquel.
This patient is currently eating a raw diet or a grain-free diet.
This patient has other significant medical problems that are not well-controlled. Examples: hyperthyroidism, diabetes mellitus, heart failure, etc.
***Please call to discuss if you answered “yes” to any of the above questions.***
Please select if any of the following additional diagnostics have been done within the last 6 months and forward all results/records:
3D imaging (CT or MRI)
PARR or flow cytometry
Please list all medications this patient is currently receiving (drug name, dose, frequency):
Please provide any additional information that may be helpful in facilitating the referral of this patient:
Upload Patient Information
Upload Patient's Medical Records
Drop files here or
Accepted file types: pdf, jpg, jpeg.