Open 24 hours a day
7 days a week!

800 W. Jericho Turnpike, Huntington, NY 11743

Call us at 631-923-3210

Pet Emergency at West Hills Animal Hospital and Emergency Center

HAVING AN EMERGENCY? CALL US IMMEDIATELLY

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Electronic Referral Form

HomeVeterinariansReferral Form

West Hills Animal Emergency and Critical Care Center

This form can also be printed and faxed by clicking here or sent with the client. Please include the most recent notes, radiographs, and any pertinent lab results when possible.

Date:

Referring Hospital Name:

Phone #:

Fax:

Referring Veterinarians name:

Referring DVM / Hospital Email:

Which method of communication would be most convenient to receive Admission and Discharge Summaries of your patients?



Combination (Please list):

Clients name:

Client address:

Home phone:

Cell phone:

Email:

Patients name

Age:

Sex:

Species/Breed:

Color:

Weight:

Please Select Service:
  Emergency & Critical Care Center
  Rehabilitation Services - Victoria Kearns, LVT, CCRP, NCM
  Cardiology Services - Keith Blass, DVM, MS, DACVIM & Dennis Trafny, DVM, DACVIM
  Surgery Services - Matthew Raske, DVM, DACVS-SA & Donny Astor, VMD, DACVS-SA

Presenting Complaint:

Brief History:

Current Treatment and Medications:

Additional Information Comments:

West Hills Animal Emergency and Critical Care Center



Pet emergencies for which you should immediately seek medical care:

Symptoms include:

  • Difficulty breading
  • Bleeding that does not stop from any part of the body
  • Bloated, distended, swollen or painful abdomen
  • Major trauma - Falls, hit-by-cars, large wounds, broken bones

FULL LIST OF PET EMERGENCIES