Interested in becoming a customer?
We're excited to assist you with your questions! Simply complete the form, and we'll get in touch with you as soon as possible to kickstart the process!
Name
*
First Name
Last Name
Job Title
Email
*
example@example.com
Veterinary Practice Name
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Phone Number to Reach You
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which best describes your hospital?
*
General Practice (e.g. Family Veterinarian)
Emergency and/or Specialty
Hybrid Practice
Urgent Care or Walk-in
Enterprise (e.g. Corporate)
Shelter (e.g. Non-profit)
Mobile
University or Educational
Other
How many full-time equivalent veterinarians does your practice have?
1-3
4-7
8-15
16+
Who do you currently use for your radiology cases?
*
Antech
Idexx
Local Radiologist
Local University
Other
I am interested in
*
VitalRADS Teleradiology Service Only
VitalPACS Image Archiving Service only
VitalRADS and VitalPACS Bundle
Other
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I consent to receive marketing emails from other sister or partner companies of VitalRADS and VitalPACS. These emails may include information about products, services, and promotions from these companies. I understand that I can unsubscribe from these emails at any time by clicking the "unsubscribe" link at the bottom of any email.
Yes
No
Were you referred?
*
Yes
No
If yes, who referred you?
Please Select
Sales Representative
Colleague
University
Google Search
Magazine
Social Media
Veterinary Growth Partners
Zoetis Representative
Other
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