Transfer Sheet

IMPORTANT: Our hours of operation and on-site availability may vary throughout the day as we adapt to our current capacity.
Please call us at 905-884-1832 PRIOR TO YOUR ARRIVAL so we can advise whether we have a veterinarian on site to help you and your pet. Failure to call ahead may lead to delayed care for your pet as you may be diverted to another facility at the time of your arrival.

Please ensure that you include all of the required information, including a phone number that you can be reached at if necessary.

Transfer: *

Your Name: *

Phone Number: *

Email: *

Date: *

Today

Patient Name: *

Regular Clinic: *

Does this patient have a zoonotic disease? *

Yes
No

Working Diagnosis: *

FLUID THERAPY

	Type	Additives	Rate
1.
2.

MEDICATIONS

	Type	Strength	Amount	Route	Frequency	Last Given	Due Next
1.
2.
3.

SUPPORTING DOCUMENTS

Please upload any supporting documentation such as medical history, x-rays, lab work, etc.

Additional Comments:

Please verify that you are human *

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY *