Veterinary Medical Imaging

6975 Heredia Court
Auburn, CA 95602

(530)823-5598

www.vetmedimaging.com

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.
VMI Digital Imaging Information SheetSuggested Fee Structures for Digital Imaging in your Veterinary Hospital