Forms for Clients and Referring Veterinarians

Client Forms:

Please complete and submit this form to provide information about you, your referring veterinarian and your pet prior to your first appointment with one of our specialists.

New Client Form

If you prefer, a PDF New Client information form is also available for you to print, complete and then fax (518-783-3199) or email to UVS (info@uvsonline.com).

Medication Refill Form

For clients who have existing prescriptions with one of our doctors, you can request a medication refill by completing and submitting this form or calling us at (518) 783-3198.

 

Referring Veterinarians:

Please either complete Patient Referral Form or a Telemedicine Consult Form.

If you prefer, a PDF patient referral form or PDF telemedicine consult form is also available for you to print, complete and then fax (518-783-3199) or email to UVS (info@uvsonline.com).

If you require the consult to be STAT, please call our specialists at (518) 783-3198.

Our Emergency and Critical Care Direct Transfer Form is available online.  If you prefer, a PDF Direct Transfer Form is also available for you to print, complete and then fax (518-783-3199) or email to UVS (info@uvsonline.com).

Upstate Veterinary Specialties

Upstate Veterinary Specialties