Referrals

Partnering in Specialty Care for Over a Decade

Thank you for your confidence in Salt River Veterinary Specialists, and for partnering with us over the past 10 years. We are grateful for the trust and collaboration of the referring veterinarians throughout Arizona who have helped shape our practice and support the patients we share.

For more than a decade, our goal has been to make the referral process straightforward, efficient, and supportive for you and your team.

We believe that strong collaboration between the primary care veterinarian and our specialists leads to the best possible outcomes for patients. We welcome your questions regarding case referral, diagnostics, and case management, and we work closely with you to develop thoughtful, proactive care plans tailored to each patient’s needs.

Our multi-doctor specialty team provides advanced diagnostic, therapeutic, and procedural services within a collaborative, referral-based framework. While your patient is under our care, we are committed to clear, timely, and respectful communication with both you and your client. We strive to keep you fully informed throughout the process so that ongoing care and follow-up in your practice are as seamless as possible.

As we mark this milestone year, we look forward to continuing these partnerships and supporting you, your clients, and your patients for many years to come.

To have your patient seen at Salt River Veterinary Specialists, we ask that you please follow the steps below.

Ask your client to call us at (480) 819-8630 to set up an appointment with the specialist of your choice.

Complete the printable Salt River Veterinary Specialists referral form (download here )

Prior to your client’s appointment with us, please fax or email the patient’s pertinent recent medical records, including lab work, surgery reports, diagnostic results, and current medications.

We welcome emergency transfer cases. If you feel that your patient’s current clinical condition warrants immediate care, please call and discuss the case with one of our specialists or patient care coordinators.

If you need assistance, have questions, or wish to discuss your patient’s case prior to referral, please call our hospital and a member of our staff will be happy to assist you.

Referral Form

"*" indicates required fields

This information must be available at the time of service or we may need to reschedule the appointment. Thank you for your referral.

DVM Information

Referring doctor

Hospital name*

Email*

Hospital Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Fax

Best time to call

Preferred method of contact

phone

fax

e-mail

Service location

Mobile

In Hospital at Salt River

Patient Information

Owner*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Phone

Pet's Name*

Species

Canine

Feline

Other

Breed(s)

Age

Color

Weight

Current on vaccines

Yes

No

Spayed/Neutered

yes

no

Sex

Presenting problem

History/Pertinent Physical Findings/Treatment

Condition of patient

Healthy

Stable

Critical

Examination Request

Ultrasound only

Internal Med Consult

Surgery Consult

Ultrasound location

Abdominal

Thoracic

Bi-cavitary

Neck

Reason for ultrasound

Additional Requests

Fine needle aspirate

Fluid sample

Cystocentsis

(If indicated by ultrasound, please select any of the procedures to the right that you would like performed. Some of these procedures may require sedation or anesthesia.)

Client Communication

All clinical findings and images will be provided to the referring veterinarian following the examination. For ultrasounds only, the referring veterinarian is responsible for informing the client of the findings.

I have reviewed and completed this form submission to Salt River Veterinary Specialists for the evaluation of my patient.*