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Specialist Referral Form

We share your goal of delivering personalized patient care and high client satisfaction. Our hospital is open 24 hours daily including nights, weekends and holidays. Our Acupuncture, Dentistry, Internal Medicine, Rehabilitation, and Surgery teams are available for referrals, Monday through Friday 8:00am–5:00pm.


For Patient Record Access:
You may access referred patient records and refer new patients through the Referring Veterinary Portal here.

New Hospitals and Veterinarians:
If you do not have an account in the Referring Veterinary Portal please complete and submit the below online referral form and attach patient records and radiographs as needed.

If you prefer you may email patient records and radiographs to info@bevsvt.websitepro.hosting or mail to 1417 Marshall Avenue, Williston, VT 05495


    Referring Veterinarian's Information

    Referring Veterinarian's Name:

    Referring Veterinarian's Phone:

    Hospital Name:

    Client's Information

    Client's Name:

    Client Phone/s:

    Home Phone:

    Work Phone:

    Cell Phone:

    Client's Address:

    Client's E-mail Address:

    Patient's Information






    Weight: lbs

    Patient's History

    Client Complaint/History:

    Clinical Problem/s:

    Laboratory and/or Radiograph Results:


    Attachement a file:

    You may call and speak with one of our specialists to discuss a case Monday through Friday 8:00am–5:00pm. Our doctors will communicate with you throughout your patient’s treatment process to assist you in providing appropriate follow-up care. All medical records and test results will be sent to you within 24 hours of the patient’s discharge.

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