Brighton-Eggert Animal Clinic Acupuncture Referral

Brighton-Eggert Animal Clinic Acupuncture Referral

Please provide details of the referring clinic and client to facilitate the Acupuncture consult scheduling with our Acupuncture Team.
Referring Clinic Name
Referring DVM
Referring Clinic Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Referring Clinic Email Address
example@example.com
Client Full Name

First NameLast Name
Client Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Client Email
example@example.com
Pet's Name
Pet's Current Weight
Body Conditioning Score (BCS)
All Current Diagnoses
Reason for Referral
List Any Signifigant Medical History (ex. Allergies, Adverse Reactions, etc)
List Current Medications and Supplements
Is Patient up to date on Rabies?
Pet's FAS Score
Upload Patient Medical Records (including imaging, bloodwork, etc)

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Next Steps:

Once we have reviewed the records, a member of our team will reach out to the client to schedule the acupuncture consultation.

Thank you for referring your patient to Dr. LoVullo for Acupuncture!
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