Please complete and submit this form to request a CT Scan or MRI for your pet. You will need to fax or email recent bloodwork as well.
ALL INFORMATION MUST BE PROVIDED OR REQUEST WILL NOT BE PROCESSED.
Please enter a brief patient history including past and current medical problem(s), results of all diagnostic testing, any medication(s), and response to medication, if any. Please include any sensitivity to anesthesia or any known implants or allergies.