CARE Pet Therapy Form If you are a veterinarian looking to refer a patient to Veterinary Medical Center of Central New York, please complete the appropriate referral form below, and contact us at (315) 446-7933 if you have any questions. CARE Pet Therapy Form The services offered through CARE Pet Therapy are frequently very beneficial in combination. Our service providers work cooperatively to develop the best course of therapies for the patient. Referring Hospital * Phone * Referring Veterinarian Practice Email * Owner Name * Owner Name First First Last Last Email * Primary Phone * Pet Name * Age/DOB Weight Color Species * Breed Select * MFM/CF/S List Last Vaccinations Given and Dates Current Medications: Dose, Route, Response Diagnosis * Referring Veterinarian’s written Assessment/Pertinent Medical History Precautions/Contraindications Upload any relevant files Drop a file here or click to upload Choose File Maximum file size: 52.43MB CARE Pet Therapy Team:Allison Ambrosie, DVMJennifer Bailey, DVMJessica Burgess, LVTLis Conarton, BS, LVT-VTS (Rehabilitation), CRPP, CVPPPolly A. Fleckenstein, DVM, MS, CVA, cVSMT, CAC, CVPP Thank you for this referral and your ongoing support! Please feel free to contact us anytime. Captcha Submit If you are human, leave this field blank.
