Administrative Hours: 8:30 am - 6:30 pm, Monday - Saturday | 6225 42nd Ave. N., Minneapolis, MN 55422

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Surgical Referrals

Access Veterinary Care processes surgical referrals for our industry partners

Monday – Saturday, 8:30 am to 3:00 pm.

"*" indicates required fields

Step 1 of 2

50%

Patient Name*

Species*

Breed*

DOB or Age*

Sex*

Weight*

Please include unit of measurement (kg/lb)

Client Name*

First Last

Phone*

Please describe the confirmed or suspected diagnosis and the recommended procedure

Has preanesthetic bloodwork been performed?*

Yes

No

Comments Regarding Bloodwork

Has any imaging been done?*

Yes

No

Comments Regarding Imaging

Will the patient have an IV catheter placed before transferring?*

Yes

No

Will the patient be returning to your facility for overnight monitoring after surgery?*

Yes

No

Unknown

Please indicate urgency of this procedure

It needs to be done today

It needs to be done within the next 48 hours

It needs to be done within the next week

It can wait for more than one week

Please let us know if they've had any medications we need to be aware of.

Please press the + to add additional medications

Medication Name

Consentration/Amount Given

Time Last Administered

Please upload all relevant medical records, including diagnostic images and test results

Drop files here or

Max. file size: 1 GB.

You can also send pertinent records to info@myaccessvetcare.com

If your clinic has a policy not to release records prior to finalizing, we still request that pertinent imaging and labs be sent.*

We have sent/uploaded preliminary records which are not finalized. (Please send additional records to info@myaccessvetcare.com once finalized)

We have sent/uploaded the final records.

Clinic Name*

Best Contact Number*

May our medical staff contact the referring DVM to go over any case questions?

Yes

No, they will be unavailable

Referring Veterinarian

Prefix First Last

Who should we contact if we can or cannot accommodate the surgery?*

Referring Clinic

Client/Owner

We’ve increased our surgical capacity

Let us know how we can help!

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Access Veterinary Care
6225 42nd Ave N
Minneapolis, MN 55422

763-390-4050
(call | text)
info@myaccessvetcare.com
(client records | client inquiries)

Administrative Hours:
Monday – Saturday
8:30 am – 6:30 pm

Contact

Access Veterinary Care
6225 42nd Ave. N.
Minneapolis, MN 55422

Ph: 763-390-4050
Email: info@MyAccessVetCare.com
Directions: Click Here for Google Directions!

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