Electronic Referral Form

Veterinary Staff Only

Referring Clinic Name*

Referring Veterinarian Name and Phone number*

Referring Veterinarian E-mail*

Owner Full Name (First, Last) and Phone*

Owner E-mail Address*

Pet Name*

Species, Breed, Gender, DOB or approximate, Body Weight (please specify lb or kg)*

Can this patient tolerate MILD sedation for imaging if necessary? YES/NO*

Would you like fine needle aspirates of abnormal tissue if indicated and the owner gives consent? YES/NO*

How soon should this patient be seen? 1-2 days, 3-7 days, next available (1-2 weeks)*

Does this patient have any underlying diseases, allergies, or special considerations we should know about?

ASA Risk Classification? I = No disease, II mild to moderate systemic illness, III= severe systemic illness.

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Please send all ASA Risk Class IV and V patients to the closest referral hospital for imaging!

Please submit patient records including any pertinent lab work and diagnostic imaging to shuksanvet@gmail.com

Shuksan Veterinary Services

360-626-6085

How to PLAN for a mobile visit

Contact Our Staff

You may either submit a referral form directly via e-submission, e-mail or contact our staff directly to discuss your case and our availability.

Schedule a Scanning Window

Our regional schedule is available online but for specific days and times please contact our staff. Due to the unpredictable nature of mobile care, our arrival time and and scanning window is always our best estimate.

Prepare Your Clients

Our ultrasound preparation instructions and ultrasound consent forms are available to download and print or e-mail. We do ask that all pets be fasted for 12 hours unless medically contraindicated.

Patient Drop Off

On the day of the scan, all pets should be dropped off and checked in prior to the scanning window. We will call you when we are en route to your practice with a specific arrival time. If sedation will be needed please have a plan ready before we arrive. We do offer set appointment times at our Mount Vernon and Bellingham locations for any pets that cannot be dropped off.

Don't Let Us Interrupt

Our aim is to let you keep seeing patients. We arrive with all necessary equipment and a skilled technician to assist. Veterinary staff is always welcome in the ultrasound but there is no need for our presence to interrupt your day. Feel free to focus on your other patient needs during our visit.

Receive the Results

Sonographer findings are available

immediately and the final radiologist

report is typically sent within 24-48

hours, while emergency studies can be

returned in 1-2 hours. Our goal is to

assist you in the diagnostic process; we

provide quality imaging and expert

interpretation while keeping the patient care in your hands.