Dental Referrals

Referral Form

Client Info

Patient Info

Species: CanineFeline

Sex

Approximate date of birth

Hospital Info

Where you want dental records and discharge information sent

Patient Medical Info

Reason for referring this pet

Previous Treatment and Response

List of Major Medical Problems

Current Medications

Previous Adverse Response to Medications

Any specific concerns regarding anesthesia sensitivity?

Please attach relevant medical and dental records. If able, lab work including CBC and chemistry should be done prior to referral. For pets over the age of 10 years, T4 and chest radiographs are ideal.

*Accepted files: .pdf, .doc, .png, .jpg, .gif

Please have your client contact our office at 303-810-6029 to schedule their consultation and/or procedure.

Apex is easily accessible from Denver, Boulder, Colorado Springs, Castle Rock, Highlands Ranch, Littleton, Aurora, Parker, and other Denver Metro areas.

We are located in the VRCC Imaging Center at:

(303) 810-6029

FAX (303) 991- 7913

945 West Jefferson Avenue Englewood, CO 80110

Hours of clinical operation:
Mon – Thur 8:00am – 5:30pm

Phone Availability:
M-F 8am – 11pm

Phone Availability (Weekend):
9am – 5pm