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New clients welcome! Enjoy 50% off your first wellness exam (terms apply) – walk-in!

Referral Form

Name: Animal Doctors of South Tampa
Address: 3002 W Gandy Blvd., Tampa, FL, 33611, United States
Telephone: 813-839-7200
Price range: $

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Welcome to Animal Doctors of South Tampa

Thank you for giving us the opportunity to take care of your patient. Please call our office at 813-839-7200 before the patient arrives and complete the following information. We appreciate your referral and look forward to working with you.

Date *

Referring Clinic Name *

Referring Veterinarian *

Clinic Email *

Clinic Phone Number *

I consent to receive SMS text messages from Animal Doctors of South Tampa. Msg & data rates may apply. Reply STOP to opt-out. *

Clinic Fax *

Preferred contact method *

Email
Fax
Phone

Client Name *

Client Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone Number *

Alternative Phone Number *

Client Email *

Patient Name *

Patient Species *

Pet age and/or D.O.B. *

Patient Sex *

Patient Breed *

Reason for referral/primary complaint *

Brief description including history, physical findings, tentative diagnosis, treatments completed. *

Please upload records including lab results, medical notes, and any diagnostic images *

Click or drag files to this area to upload. You can upload up to 10 files.

Thank you for your referral!

Referral Form

Welcome to Animal Doctors of South Tampa

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Hospital Hours