Basic Information
Clinic
Choose Clinic
A Breed Apart Animal Hospital
Acuity Animal Hospital
Advanced Animal Hospital
Advanced Veterinary Care Clinic
All Creatures Small Animal Hospital
All Pets Veterinary Clinic
Alta View Veterinary Clinic
And Dogs Too Veterinary Clinic
Animal Care Hospital
Animal Clinic in Sussex
Animal Clinic of Beaver Dam
Animal Clinic Of Elkhorn
Animal Clinic Of Fort Atkinson
Animal Clinic Poplar Grove
Animal Doctor of Muskego
Animal Health Center
Animal Health Clinic and Hospital of Lake County
Animal Holistic Care Specialists
Animal Hospital at Hillshore
Animal Hospital of Gurnee
Animal Hospital of Lake Villa
Animal Hospital of Loves Park
Animal Hospital of McHenry
Animal Hospital of Spring Grove
Animal Hospital of Sun Prairie
Animal Hospital of Union Grove
Animal Hospital of Verona
Animal Medical Center
Animal Medical Center
Animal Medical Clinic North
Animal Wellness Center- Burlington
Animal Wellness Center- Gentle Healer Pet Clinic
Animal Wellness Center- Oak Creek
Animal Wellness Center- Waukesha
Animal Wellness On Wheels
Antioch Animal Hospital
Arbor Ridge Pet Clinic
Back 2 Basics Veterinary Clinic
Badger Veterinary Hospital- Beloit
Badger Veterinary Hospital - Cambridge
Badger Veterinary Hospital- Janesville
Banfield Pet Hospital-0604
Banfield Pet Hospital-0605
Banfield Pet Hospital-4027
Baraboo Valley Veterinary Clinic
Bark River Animal Hospital
Bayshore Veterinary Clinic
Bay View Veterinary Clinic
Beaver Dam Veterinary Clinic
Beloit Animal Hospital Bird Clinic
Beltline Animal Hospital
Best Friends Animal Hospital
Best Friends Veterinary Center
Black Earth Veterinary Clinic
Blackhawk Veterinary Hospital
Bluemound Animal Hospital
Brentwood Animal Campus
Brentwood Animal Hospital
Brightside Pet Clinic
Bristol Veterinary Service
Brodhead Veterinary Medical Center
Brook-Falls Veterinary Hospital & Exotic Care
Brookside Veterinary Clinic
Brown Deer Animal Hospital
B & R Veterinary Clinic
Burleigh Road Animal Hospital
Butler Animal Hospital
Cambridge Country Veterinary
Canine Center
Capital City Vet Clinic
Care Animal Clinic
Care Animal Hospital of Pleasant Prairie
Casserly Veterinary Services
Cat Care Clinic- East
Cedarburg Veterinary Clinic
Center For Animal Health
Chalet Veterinary Clinic
Cherry Hill Veterinary Clinic
Citywide Pet Clinic
Clinton Veterinary Clinic
Columbus Countryside Veterinary Clinic
Community Care Veterinary Clinic
Community Veterinary Clinic
Companion Animal Care
Companion Animal Clinic
Companion Animal Hospital
Companion Animal Hospital
Country Hills Animal Health
Countryside Animal Clinic
Country Veterinary Clinic
Country Veterinary Service
Country View Veterinary Clinic
Country View Veterinary Service
Country View Veterinary Service of New Glarus
Crawford Animal Hospital
Cream City Kitty Clinic
Creature Comforts Veterinary Service
Deer Grove Veterinary Clinic
Deforest Veterinary Clinic
Delafield Small Animal Hospital
Dells Animal Hospital
Dodgeville Veterinary Service
Eastside Veterinary Clinic
East Towne Pet Clinic
East Towne Veterinary Clinic
Edgerton Veterinary Clinic
Elkhorn Veterinary Clinic
Elmbrook Veterinary Clinic
Evansville Veterinary Service
Family Pet Clinic
Fitchburg Veterinary Hospital
Forest Home Animal Clinic
Four Lakes Veterinary Clinic
Four Paws Veterinary Clinic
Fox Lake Animal Hospital
Fox Valley Veterinary Service
Franklin Veterinary Clinic
Franksville Veterinary Clinic
Fredonia Veterinary Clinic
Frost Family Pet Clinic
Full Circle Holistic Veterinary Care
Geneva Lakes Animal Hospital of Walworth
Gentle Care Veterinary Hospital
Germantown Animal Hospital
Grand Animal Hospital
Grayslake Animal Hospital
Greenfield Veterinary Clinic
Hales Corners Veterinary Clinic
Hallett Veterinary Hospital
Harmony Pet Clinic
Harris Pet Hospital
Hartford Animal Clinic
Hartland Animal Hospital
Hartland Veterinary Clinic
Healthy Companions Vet Clinic
Healthy Pet Veterinary Clinic
Hebron Animal Clinic
Helbing Veterinary Hospital
Heritage Animal Clinic
Hill-Dale Veterinary Care
Hononegah Animal Hospital
Humane Animal Welfare Society
Isthmus Veterinary Care
Jackson Pet Hospital
Janesville Animal Medical Center
Janesville Veterinary Clinic - East
Janesville Veterinary Clinic- West
Janssen Clinic For Animals
Jefferson Veterinary Clinic
Johnson Creek Veterinary Care
Juneau Veterinary Clinic
Kewaskum Veterinary Clinic
Knight Veterinary Clinic
Kuenzi Family Pet Hospital
Lake Country Veterinary Care
Lake Geneva Animal Hospital
Lake Geneva Veterinary Clinic
Lakeland Veterinary Care
Lake Mills Veterinary Clinic
Lakes Animal Clinic
Lakeside Animal Hospital
Lakeview Animal Clinic
Lakeview Veterinary Clinic
Layton Animal Hospital
Lindenhurst Animal Hospital
Little Animal Hospital
Lodi Veterinary Care- DeForest
Lodi Veterinary Care- Lodi
Lyons Veterinary Service
Madison Road Veterinary Clinic
Madison Veterinary Clinic
Maple Knoll Veterinary Clinic
Marila Veterinary Clinic
Marshall Pet Care Clinic
Marsh View Vet Clinic
Mayfair Animal Hospital
Mayville Animal Clinic
Mazomanie Animal Hospital
McFarland Animal Hospital
Menomonee Falls Animal Hospital
Middleton Veterinary Hospital
Midwest Veterinary Dental Services
Military Ridge Veterinary Service
Milton Veterinary Clinic
Milwaukee Animal Hospital
Milwaukee Vet Clinic
Milwaukee Walk In Vet Clinic
Mineral Point Veterinary Services
Molitor Pet & Bird Clinic
Monroe Veterinary Service
Mostly Cats Veterinary Clinic
Mt. Horeb Animal Hospital
Mt. Zion Small Animal Clinic
Muir Field Pet Clinic
Mukwonago Animal Hospital
My Pets Vet
Nature's Preserve Pet Care
New Berlin Animal Hospital
Noble Hound Animal Hospital And Pet Resort
North Lake Veterinary Clinic
Northside Animal Hospital
Norwood Animal Clinic
Oconomowoc Animal Hospital
Odyssey Veterinary Clinic
Oregon Veterinary Clinic
Parkdale Pet Care
Parkland Plaza Veterinary Clinic
Passion for Paws Veterinary Clinic
Petcare Animal Hospital
Pewaukee Veterinary Service
Pineview Veterinary Clinic
Poynette Animal Hospital
Poynette Veterinary Care
Prairie Animal Hospital
Precision Veterinary
Randolph Veterinary Clinic
Richfield Area Pet Clinic
Richmond Veterinary Clinic
Riverside Animal Clinic
Rock River Veterinary Clinic
Rockton Veterinary Hospital
Roscoe Veterinary Clinic
Round Lake Animal Hospital
Sandhill Pet Clinic
Sauk Point Veterinary Clinic
Sauk Prairie Small Animal Hospital and Shamrock Pet Resort
Sauk-Prairie Veterinary Clinic
Schmidt Veterinary Clinic
Silver Spring Animal Wellness Center
Small Animal Hospital
Sondel Family Veterinary Clinic
Spartan Animal Hospital
Spirit of 76th Veterinary Clinic
Spring Green Animal Hospital
Spring Harbor Animal Hospital
Starlight Veterinary Clinic
Stoughton Veterinary Service
St. Paul Vet Clinic
Sugar River Veterinary Services
Sullivan Veterinary Service
Summit Animal Clinic
Sun Prairie Pet Clinic
Token Creek Vet Clinic
Truesdell Animal Care Hospital
True Veterinary Care
Tyranena Veterinary Clinic
VCA Associates in Pet Care Animal Hospital
VCA Milwaukee Emergency Center for Animals
VCA Saukville Animal Hospital
Verona Veterinary Medical Service
Veterinary Medical Associates
Veterinary Village
Village Animal Clinic
Village Veterinary Service
Wales Animal Clinic
Waterford Veterinary Clinic
Waterloo Veterinary Care
Waukesha Animal Hospital
Waunakee Veterinary Clinic
Wauwatosa Veterinary Clinic
West Allis Animal Hospital
West Allis Veterinary Clinic
West Bend Animal Hospital
West Burleigh Veterinary Clinic
Westgate Pet Clinic
Westosha Veterinary Hospital
Westown Veterinary Clinic
West Towne Veterinary Center
Whitewater Veterinary Hospital
Whitnall Small Animal Hospital
Whole Pet Veterinary Clinic
Wind Lake Animal Hospital
Winnebago County Animal Services
Woodstock Animal Hospital
Woodstock Veterinary Clinic
Woodview Veterinary Clinic
Wright Veterinary Service
Wyllow Pet Hospital
Hospital Email (Best address for appointment info)
Referring DVM
Referring DVM Email (Best address for patient info)
Pet Owner Information
Pet Owner Name
Pet Owner Email
Pet Owner Phone Number
Patient Information
Pet Name
Sex
Select Sex
Female
Male
Species
Cat
Dog
Other
Spayed/Neutered?
Yes
No
Date of Birth
Invalid Birth Date
Breed and Color
Weight
lbs
kg
Temperament
Current Medications
Presenting Complaint
Known Co-Morbidities
Cushings
Diabetes
Geriatric
Heart Disease
Immunocompromised
Overweight
Other
Bloodwork Status
Complete
Not Complete
Please attach bloodwork results to the case when available.
Patient History
Consult Type
DVM only (No Owner)
DVM and Owner
Appointment Type
Select Appointment Type
Consult Only
Consult & Echo
Consult & Ultrasound
Consult & Bicav Scan
Consult & Endoscopy
Surgery
Re-Check/Follow-Up
Other
Requested Procedure
Attachments
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