Online Case Submission

SCHEDULE ANNOUNCEMENTS

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 $20 fee.
*Addendum to reports (Due to lack of info originally submitted) will incur a $20 fee.

How to Submit

  1. Please Call / Text / Email for availability.
  2. Dates blocked from calendar mean we are completely booked.
  3. If you are adding on cases for same day, please let us know to re open calendar date
  4. Forms are sent to specialists. Please include important information.
  5. After submitting form, Email most recent labs and x-rays. 
  6. Patients over 50lbs please pre approve for sedation

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

Hospital Information

*Please fill out with as much detail as possible.

Preferred Date*
Urgency?*
Hospital*
Veterinarian*
Phone*
Fax*
Email*
Patient Information
Last Name*
Pet's Name*
Species*
Breed*
Age*
Weight (lbs)*
Gender:
Patient at clinic?
Ultrasound Study
Ultrasound Category     (See Ultrasound Packages)
Brief patient history / Main complaints?(For example, Reason of visit? Why are we doing ultrasound? Owners main complaint?)
What do physical exam, labwork show? Anything remarkable/ abnormal?(For example, a heart murmur, what grade, distended abdomen, radiographs and blood results?)
What is the current therapy?
(For example, medicine names and dosages pet is currently on)
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.