Referrals to VRSP can be made by phone (470-795-9390), fax (678-494-4701) or by online submission, whichever is easier for you.

Marietta

630 Cobb Parkway, Ste B
Marietta, GA 30062

Woodstock

7800 Highway 92
Woodstock, GA 30189

Roswell

900 Holcomb Bridge Rd
Roswell, GA 30076

TIPS FOR SUBMITTING THIS FORM:

  • Please fill out all fields as thoroughly as possible; not providing detailed information will result in the referral process being delayed.
  • All items denoted with a red asterisk are mandatory fields and must be filled out or the form will not be successfully submitted.
VRSP Referral Form
Location Preference

Owner Information

Name
Name
First
Last

Pet Information

Species
Altered
Sex

Referral Information

Will you be sending current blood work (within the last 3 months)? If so, how will you be sending?
Will you be sending radiographs? If so, how will you be sending?
Any other supportive information (i.e cytology, histopathology, urinalysis, ultrasound reports etc.)
Please also forward medical records/ history from the last year

Please note, itemized/invoice histories are not sufficient. Full physical exam findings are required.



Please forward medical records from the last year. Fax: (678) 494-4701 Email: consult@vrspatl.com

Form Completed By:
Form Completed By:
First
Last
Once you submit the referral, it will immediately acknowledge if the submission was completed. In addition, within a few minutes you should receive an email (using the email provided in your form) noting that the referral has been submitted successfully. If you do not receive the confirmation email, please contact the Referral Team at 470-795-9390.