Referral Request

Referral Form
Request type

*** Please note as you are requesting an appointment, our clinicians will not be reaching out to you. Please have your client call us to make an appointment at 608-263-7600 for small animals and 608-263-6300 for large animals.

Owner Address
Owner Address
City
State/Province
Zip/Postal
Referring Clinic Address
Referring Clinic Address
City
State/Province
Zip/Postal
Species
Sex

*** If images have not yet been sent to UWVC, please send them to radimages@vetmed.wisc.edu

Please indicate how you have sent patient records to UWVC

Please advise your client to call and schedule an appointment if that is what you would like. Our phone numbers are below:

  • Small Animal Hospital: 608-263-7600
  • Large Animal hospital: 608-263-6300
  • Physical Rehab: 608-890-0422