Virtual Recheck Form in Charlottesville, VA | Virginia Veterinary Specialists

Virtual Recheck Form

Owner's Name*
First Last
Best phone number to reach you?*
Pet's Name*
Your Surgeon*
Date of procedure*
Type of procedure*
How are things going at home? Any additional comments?*
Upload picture of the incision taken from 1-2 feet away, in good lighting.
Drop files here or
Video (30 seconds) leash walking towards and away from the camera
*Please restrict videos to under 30 seconds or the surgeon may not receive them.
Drop files here or
Email
This field is for validation purposes and should be left unchanged.

Font Resize

Contrast

Call Us Text Us