Open 24 hours a day7 days a week!
800 W. Jericho Turnpike, Huntington, NY 11743
Call us at 631-923-3210
HAVING AN EMERGENCY? CALL US IMMEDIATELLY
Home • Veterinarians • Referral Form
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.
Referring Hospital Name:
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):
Please Select Service:
Emergency & Critical Care Center
Rehabilitation Services - Victoria Kearns, LVT, CCRP, NCM, OACM
Cardiology Services - Keith Blass, DVM, MS, DACVIM
Surgery Services - Matthew Raske, DVM, DACVS-SA, Ariel Kravitz, DVM, DACVS-SA, & Mark Levy, DVM, DACVS-SA
Oncology Services - David Hunley, DVM, DACVIM
Dentistry Services - Donald DeForge, VMD (Practice limited to Dentistry)
Acupuncture & Integrative Medicine - Dawn Greenberg, DVM, CVA
Current Treatment and Medications:
Additional Information Comments:
FULL LIST OF PET EMERGENCIES