Referral Process

Uncompromised excellence is the core of the referral service at Bend Veterinary Specialty & Emergency Center. All referring veterinarians receive a detailed report describing every aspect of treatment, diagnosis, and medical or surgical procedure.

It is our policy to treat referred patients only for the specific procedure for which they were referred and we will not provide any veterinary care other than what their primary doctor has requested unless complications dictate otherwise. We value the professional relationship we have with our referring veterinarians and we are available to answer any questions.

For more information about referrals to Bend Veterinary Specialty & Emergency Center, please contact us.

How to Refer a Patient

Download a printable referral form and fax it to us, mail it to us, or bring it with you to your appointment. Be sure to include medical records, diagnostic information, and any other pertinent case materials whether submitting by fax or online.

Referral Forms

To refer a patient, you can download and complete the PDF document. You can either submit the completed form through the Online Submission Form on this page, or print and bring it with you to our hospital.

Referral Forms

Download New Patient Referral Form

Download Cardiology Patient Referral Form

If you would like to download the PDF, and do not already have AdobeReader® installed on your computer, click HERE to download.

Once you have downloaded the form to your computer, complete it, save, and then send to us using the form below or by fax to 541-318-1665.

Your Name (required)

Your Email (required)

Your Phone

1.) Download form to computer/device
2.) Complete form and save completed version
3.) Click "Choose File" below & attach your completed form
4.) Click "Send"

Questions? Submit a referral inquiry!
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