Streamline Referrals for Veterinary Ophthalmology in Asheville, NC

Referral Form for Veterinarians

At Blue Ridge Veterinary Eye Specialists, we work closely with primary care veterinarians across Western North Carolina and surrounding areas to ensure pets receive timely, expert ophthalmic care. Our online referral form makes it easy to submit patient information and records for review.

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How to Refer a Patient

Please complete the form below with the client and patient information, a brief summary of the concern, and any relevant medical records or diagnostic results. Once submitted, we will follow up with your office if needed or following the patient’s consult.

This form is intended for veterinary professionals only.

Date *

Doctor Name *

Clinic Name *

Clinic E-mail *

Clinic Phone *

Client Name *

First

Last

Client Phone *

Patient Name *

Species *

Dog
Cat
Other

As the referring veterinarian, my expectations for this case are as follows: (Please check one.) *

Referral
Phone consultation

For Phone consultations, photos are greatly appreciated.

Is Patient Fractious? *

Ophthalmic History and Medications *

Medical Records

Click or drag a file to this area to upload.

Lab Reports and Other Diagnostics

Click or drag a file to this area to upload.

Additional Upload (if necessary)

Click or drag a file to this area to upload.

Additional Upload (if necessary)

Click or drag a file to this area to upload.

Would you like BRVES to contact the client to schedule an appointment? If not, please advise client to call (828) 656-EYES to schedule an appointment. (Please check one.) *

Phone

Questions?

If you have any questions or need immediate assistance, please contact us directly at (828) 656-3937 or email us at blueridgeveteye@gmail.com.

Streamline Referrals for Veterinary Ophthalmology in Asheville, NC

Referral Form for Veterinarians

How to Refer a Patient

Questions?

Schedule Expert Eye Care for Your Pet Today

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Location

Contact Information

Hours