Veterinary Medical Imaging

PO BOX 874
LOOMIS, CA 95650

(916)652-9044

www.vetmedimaging.com

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Case Referral Forms

 

Please utilize these forms to facilitate submitting images for consultation and/or referring a patient for outpatient ultrasound, CT, or MRI imaging. 

File NameDescription / Comment
VMI Consultation Request FormUtilize this form when sending cases for outpatient exams at our affiliate hospitals or when referring a patient for ultrasound interpretation.
VMI Consultation Request Form Fill-inUtilize this form fill-in when sending cases for outpatient exams at our affiliate hospitals or when referring a patient for ultrasound interpretation.