Referral to: Veterinary Referral Surgical Practice – Surgery

Referrals to VRSP can be made by phone, fax or by online submission, whichever is easier for you.

630 Cobb Parkway, Ste B
Marietta Ga 30062
Phone: (770) 424-6663
Fax: (770) 424-5238

7800 Highway 92, Woodstock, GA 30189
Phone: (678) 214-0300
Fax: (678) 494-4701

VRSP Surgery, Neurology and Rehabilitation Center
3900 Holcomb Bridge Rd, Roswell Ga 30076
Phone: (770) 594-2603
Fax: (770) 649-5647

Location Preference
no preferencefirst availableclient preferenceMariettaWoodstockRoswell

Name

Primary Phone

Secondary Phone

Name

Species
CanineFelineOther

Other

Breed

Altered
YesNo

Sex
FemaleMale

Age

Color

Weight

Vaccination last given

Rabies last given

Rabies Due

Doctor's Name

Hospital

Phone

Fax

Backline

Reason for referral

Current History

Current Medications

Previous existing medical conditions

Drug reactions or sensitivities

Will you be sending current blood work (within the last 3 months)? If so, how?
NoFaxSend with ownerEmail

Will you be sending radiographs? If so, how?
NoFilmCDEmail

Surgery
(770) 424-6663
630 Cobb Parkway, Ste B
Marietta Ga 30062
Fax (770) 424-5238

Surgery
(678) 214-0300
7800 Highway 92,
Woodstock, GA 30189
Fax (678) 494-4701

Surgery, Neurology and Rehab Center
(770) 594-2603
900 Holcomb Bridge Rd,
Roswell Ga 30076
Fax (770) 649-5647