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Referring Doctor

Name Of Referring Doctor(Required)
I allow the 4 Paws Imaging Centers to contact me through text messages.
I understand that 4 Paws Imaging Centers will not be relaying results of this diagnostic to owner. They will perform the diagnostic, and return results to referring DVM to relay results to owner.(Required)
Owner's name(Required)
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Is patient up to date on a rabies vaccine?

If your patient is not updated on a rabies vaccine, please call 4 Paws Imaging at 630-746-1382 to discuss protocol

Is this a recheck from a previous 4 Paws Imaging ultrasound?

*Please indicate the start date of all cardiac medications.

EKG study to be performed at time of echocardiogram (please note an additional fee applies)
Are there radiographs to submit for interpretation along with this ultrasound?
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6 radiographs max
Additional fee applies
Must be sent in dicom format to our server
Radiographs older than 2 weeks will not be accepted