Referral DVMs

Referral DVMs

Thank you for considering Blackford Veterinary Surgery Referral for your patients’ surgical needs. Please find the online referral form below. You may also download the referral form, and fax it to our office at 865-531-7149. Please be sure to include the medical records of the patient, as well as any radiographs that may have been taken.

Referring Veterinarian(Required)
Clinic Address(Required)
Client Name(Required)
Client Mailing Address(Required)

Patient Information

Is the animal:(Required)
Please send/attach ALL of the information listed below that pertains to the injury/referral.
Max. file size: 2 MB.
Bloodwork performed in the last 6 months?(Required)
*Bloodwork is REQUIRED at our clinic for pets over the age of 7 years, or if they have underlying health conditions or concerns.
Were X-rays Performed?(Required)
*If yes, please send all x-rays to info@blackfordvetsurgery.com
Max. file size: 2 MB.
Medical records attached?(Required)
This field is for validation purposes and should be left unchanged.