Veterinary Referral Form

We value our partnership with referring veterinary doctors and hospitals. Veterinarians can use the form below to refer a patient to Arizona Veterinary Dental Specialists. You will have the opportunity to upload images and lab work in pdf,jpg,gif,png,doc or docx format, in case you want to have those files ready for upload.
Please let us know your name.
Invalid Input
Invalid Input
Invalid Input
Please let us know your email address.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please use the following upload fields to submit your most recent blood tests, lab results or radiographic findings.
Must be less than 5MB
Must be less than 5MB
Must be less than 5MB
Invalid Input
Invalid Input

Quick Links & Info

  • Patient Forms & Portal

    Complete your patient forms prior to your pet's appointment and access our new patient portal to manage your account, appointments and more.

    Read More
  • Online Pharmacy

    Conveniently fill your pet's medications with our online pharmacy.

    Read More
  • For Referring Veterinarians

    We work closely with our referring colleagues and we are committed to a smooth referral process for you and your client.

    Read More
  • Pet Dental FAQs

    Answers to some of your common questions about pet dental health and veterinary dentistry.

    Read More
  • Veterinary CE Seminars for Doctors and Techs

    We offer excellent educational opportunities for veterinary professionals. Join us for lunch time CE's and seminars.

    Read More
  • 1