Emergency Service Direct Transfer

For referring veterinarians: To facilitate transfer of patients please call UVS at 518-783-3198 prior to sending a client to our facility. Once you have spoken to an Emergency Doctor or Technician, please submit an Emergency Service Direct Transfer Form.

A (PDF) is also available for your convenience, please email the completed PDF form to info@uvsonline.com or fax to 518-783-3199.

 

Emergency and Critical Care Service Direct Transfer Form

  • Hospital Information

  • Client/Patient Information

  • MM slash DD slash YYYY
  • Medical Information

  • MM slash DD slash YYYY
  • It is always helpful if you can send any additional bloodwork, radiographs, or pertinent records you may have in regards to this case.
  • Drop files here or
    Max. file size: 256 MB.
      If unable to upload, please email to info@uvsonline.com OR you may fax to us at 518-783-3199.
    • This field is for validation purposes and should be left unchanged.