Veterinary Referral Hospital of Hickory

i-131 Online Referral Form

Referring Veterinarian Information

Client Information

Patient Information

Patient Files:

You may upload your files (medical files, radiographs, labwork etc.) below, or, simply check the box that will let us know where we can expect
*if available
*if available

Additional Information:

Lab Work

The following laboratory tests are required within one (1) month of appointment: CBC, CHEM PANEL, T4, URINALYSIS. If available, please upload the results of these labs below, as well as labs at the time of initial diagnosis.
*if available