The Nation's First Private Veterinary Neurology Hospital
Specializing in Canine and Feline Neurology and Neurosurgery

Non-Neurological CT/MR Imaging Referral Form

Please review the VNC's CT/MR Imaging Referral Process prior to submitting this form. This form and special pricing is for non-neurological cases only. Please contact us if you have questions.

Owner Information

Patient Information

Referring Veterinarian Information:

Medical History

  • Patrick Gavin, D.V.M., Ph.D, Diplomate ACVR/RO
    MR Vets, Inc.,
    Sandpoint, Idaho

  • Amy Tidwell, D.V.M., Diplomate ACVR
    Veterinary Imaging Consultant (Specializing in MRI and CT)
    Uxbridge, Massachusetts

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