Imaging Referral Form

Please forward a copy of this patients records including labs, radiographs, etc. to info@northcountrydvm.com

or fax to (888) 312-7767.

Thank you for submitting this request. We will get in contact with your client soon to schedule the appointment! Once the scan is complete, you will receive access to the images and the radiology report.

Thank you for your submission!

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