NOTE: This form is intended to be filled out *only* by a referring DVM or hospital representative. Owners should seek referrals from their DVM.
Thank you for your continued support of the Oncology Service at The University of Georgia. We are now providing either a phone consultation or a written faxed or emailed consultation, depending what you prefer. We do ask that you fill out the following information and that you submit relevant clinical data (blood test results, cytology reports, histology reports) so that we may provide you with recommendations regarding your patient.
If you prefer to refer your case without a consultation, please contact our Referral Coordinators at 706-542-5362 or 1-800-861-7456.
For consults, please indicate how you would prefer to be contacted and provide contact information.