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UGA CVM : Referring Veterinarian Oncology Consultation Form

Referring Veterinarian Oncology Consultation Form

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.

Veterinarian Contact Information

Patient Information

Diagnosis: please fax cytology, biopsy report and any additional lab results to 706-357-0084 or email to

Clinical Information

One of the oncologists or oncology residents will contact you as soon as possible concerning your case, most likely within the next 24 hours. If you have additional questions that are not answered in this consult, please feel free to contact us through the referral coordinators at 706-542-5362 or 1-800-861-7456. Thank you for contacting the UGA Oncology Service. We look forward to working with you on your Oncology cases.

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