If you are a veterinarian or clinic referring a patient for emergency care, please complete and submit the form below.

EMERGENCY REFERRAL FORM

Emergency Referral Form

Medications Given:

Total Fluids Given:

Medications To Administer:

Lab Procedures Requested:

PLEASE EMAIL ALL CURRENT LABWORK, REPORTS, RADIOGRAPHS AND MEDICAL RECORDS TO

INFO@EAHOFCRYSTALFALLS.COM.

 Be sure to have the referring veterinarian call and speak with an EC Dr.