Online Case Submission

SCHEDULE ANNOUNCEMENTS

You can text (786)-459-2474 (Sergio) for Ultrasound Availability
Include Animal Hospital, Ultrasound Type and date needed
Monday – Friday (9am to 5pm)
We group similar area clinics together to be efficient 

How to submit Online Form

1.  Please Call / Text / Email for availability – (Future and same day services)
2.  Dates blocked from calendar mean we are completely booked. (Do not submit without DSU approval)
3.  Add on cases are welcomed, but please let us know ASAP.
4.  Online Forms are sent to specialists. Please include important pet information.
5.  Mention: owner main complaint, Doctor findings / observations (labs and any meds & dosages )
6.  Patients over (50lbs) please pre approve for sedation just incase its needed.
7. Email recent (Lab work, X-Rays (3 views max) or Xray Reports) : office@dsuvet.com / dsumobileultrasound@gmail.com

Fees to prevent delays

Online forms lacking information (requiring DSU to gather info for best results) – $35 Each Patient
Addendum for reports (due to incorrect or lacking information originally submitted) – $30 Each Report
Unshaved pets attribute to 20 mins per patient in delays – (For DSU to shave) – $20 Each Patient
Cancellations within 48 hours of appointment (this fee is subtracted from total if rescheduled) – $150 Each Patient

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

Hospital Information

*This is sent to specialist, please provide important information

Preferred Date*
Urgency?*
Hospital*
Veterinarian*
Phone*
Fax*
Email (Reports & Invoices)*
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.