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Ultrasound Referral Request

Referral requests for abdominal ultrasound and echocardiogram services.

This form is intended for referring veterinary hospitals. Our team will contact the client to coordinate scheduling once records have been reviewed.

Echocardiogram Information

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Felines First Veterinary Hospital is not a board-certified cardiology practice. Echocardiograms performed at our hospital are screening evaluations intended to assess for structural heart disease and other significant cardiac abnormalities. Some patients may still require referral to a veterinary cardiologist for advanced evaluation, diagnostics, or treatment recommendations.

Fear Free Imaging Support

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As a Fear Free Certified Practice, we strive to provide a low-stress imaging experience for every patient. For cats with known anxiety, handling concerns, or previous difficulty during veterinary visits, we strongly encourage referring veterinarians to consider appropriate pre-visit pharmaceuticals prior to the appointment whenever medically appropriate.

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Some patients may still require an initial “Fear Free Consult” prior to imaging, or on the day of the appointment, to help determine the safest and least stressful approach for completing diagnostic imaging. Our goal is always to improve patient comfort, safety, cooperation, and image quality whenever possible.

To help us provide the best experience possible, please include recent medical records, laboratory results, radiographs, and any pertinent history related to the referral concern.

Referring Veterinary Hospital

Preferred method for report delivery
Email report only
Call and Email

Client Information

Patient Information

Requested Imaging

Select all that apply

Referral & Communication Preferences

Please indicate the expectations regarding communication and case management following imaging:
Perform imaging and provide findings/report to the referring veterinarian for ongoing case management and treatment recommendations.
Client consultation and treatment recommendations requested from Felines First Veterinary Hospital. I understand this may require scheduling the patient for an examination/consultation appointment in addition to imaging.
Please contact me to discuss case management preferences prior to scheduling.

Medical History & Clinical Concerns

Fear Free Practice

Patient Handling & Sedation

Has this patient shown significant stress, anxiety, or handling concerns during veterinary visits?
Yes
No
Unsure
Has pre-visit medication been prescribed or recommended?
Gabapentin
Bonqat
Trazodone
None
Other

Records & Diagnostics Upload

Note: PDF images are preferred

If additional records or files exceed upload limitations, they may be emailed directly to our hospital at reception@felinesfirstvet.com. For radiographs, we strongly encourage referring hospitals to send original DICOM images whenever possible to preserve image quality for review.

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