Online Case Submission

SCHEDULE ANNOUNCEMENTS

 ***PLEASE CALL / EMAIL FOR AVAILABILITY

You can text 786-459-2474 for Ultrasound Availability
(Monday – Friday 9am to 5pm)
Include Animal Hospital, ultrasound Type and date needed

 *Incomplete forms (Requiring DSU to gather more info) will incur a $10 fee.
*Addendum to reports (Due to lack of info originally submitted) will incur a $15 fee.

How to Submit

  1. Call us first for availability, do not submit without our approval.
  2. Forms are sent to specialists, please include important info (medicine, dosages, main complaints, significant results)
  3. Email included on form will receive the report and invoices (Please check spam folders)
  4. Email us recently done labs and or x-rays to office@dsuvet.com (include patient name on subject)

Fax: 888-719-1734 / office@dsuvet.com

Hospital Information
Ultrasound Date* (This is the date you wish the ultrasound to be performed)
Hospital*
Veterinarian*
Phone*
Fax*
Email*
Patient Information
PET LAST NAME*
**PET NAME***
Species*
Breed*
Date of Birth*
Weight (lbs)*
Gender:
Intact
Ultrasound study
Other (please specify):
Ultrasound Category     (See Ultrasound Packages)
Other (please specify):
Reason for visit? Main complaint?
Most remarkable PHYSICAL EXAM findings(record any significant abnormalities)
Current Therapy(Please specify dosages)
Attachments
Other (please specify):
Please write the text exactly as shown on the image below:
captcha
  • To submit any paper work (medical notes, lab work...)
  • To send x-rays, photos and images.

send to: office@dsuvet.com

If your form is complete please click:
Click here to download the form and fill it offline.