Refer A Patient To East Tennessee Veterinary Ultrasound

Our sincere apologies, we are temporarily unable to accept patients > 40lbs for abdominal ultrasound. Thank you!
We do accept large dog echocardiogram referrals.

We are currently scheduling appointments for mid to late October. Please note that Dr. Bacon will be out of the office from October 1st through October 10th. For any urgent referrals during this time, please direct them to AESC or UTCVM. Thank you for your continued support.

We are now requiring that all patients receive oral calming medications prior to imaging appointments unless contraindicated for your individual patient.

We have found oral calming medications significantly improve our patients’ comfort while lowering respiratory and heart rates. For medications and dosing we suggest trazodone, gabapentin, or a combination of both be administered PO the evening before and two hours prior to travel. We follow FearFree guidelines for Pre-Visit Pharmaceutical available here.

Please reach out if you have any questions or need assistance with referring a case. Thank you for entrusting us with your patient’s care.

Referring Veterinarian(Required)

Referring Hospital(Required)

Phone(Required)

Email(Required)

Owner's Name(Required)

First Last

Owner's Telephone Number(Required)

Owner's Email Address

Pet's Name(Required)

Age(Required)

Gender(Required)

Species(Required)

Breed(Required)

Weight (lbs)(Required)

Exam Requested(Required)

How soon would you like this case to be seen?(Required)

Reason for Referral(Required)

Pertinent History(Required)

Please include a basic summary of the chief complaint and physical exam findings. The medical record, images, and test results may be uploaded using the “Add Files” button below.

Current Medication / Treatment

Please include strength, concentration (if liquid or transdermal formulation) and dosing instructions for each medication. Please bring all medications and supplements to your pet’s appointment.

Does this patient have a history of aggression?(Required)

Yes

Please describe(Required)

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Will your patient be prescribed oral calming medication (Pre-Visit Pharmaceuticals)?(Required)

Is there anything additional we should know about this patient?

Please upload your patient's medical records including all lab results, images and radiographs in JPEG format. We request at least one year of patient records and any other pertinent records including previous ultrasound reports. Please feel free to contact us if you have any questions.

Drop files here or

Max. file size: 128 MB.

Please note that you may need to fill out a captcha test before submitting the form. If you can’t submit the form, please scroll up to the top of the page and look for the captcha test. You will receive a response after your case has successfully been submitted. Thank you.

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We are now requiring that all patients receive oral calming medications prior to imaging appointments unless contraindicated for your individual patient.

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