Boston Veterinary Specialists: Refer Now

(888) 326-2800 • (781) 326-2140
326 Bridge Street • Dedham, MA 02026
Fax (781) 326-9782

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Partnering with Boston area
veterinarians for over 25 years.

At Boston Veterinary Specialists, we know that our relationship with referring veterinarians is integral to the care we provide. We are here to serve you, your clients and your patients when they need advanced surgical care. As board-certified veterinary surgical specialists with many decades of combined experience, Dr. William Henry and Dr. Catherine Briere provide the expert care you can recommend with confidence.

Exceptional communication and service for you and pet owners.
As a partnering referring veterinarian, you will be kept closely involved in your patient’s care with us from start to finish. We offer:

Prompt, complete reports including current labs and diagnostics
Consultation with you regarding treatment recommendations and goals
Regular updates regarding your patient’s progress
Quick scheduling for consultations and surgery
24/7 patient care in our private surgical hospital
Caring, knowledgeable client liaisons to assist pet owners through
all stages of their pets’ care with us

Refer now
For your convenience, you may complete the following referral form and submit through our website. Dr. Henry, Dr. Briere or one of our team members will be in touch with you as soon as possible. You may also download a PDF to complete and fax, mail or hand deliver to our office.

Please be sure to fax and/or send all pertinent records, reports and diagnostic images with the pet owner to the appointment. Our fax number is: (781) 326-9782.

* Required

Owners Name: *	Name is required.
Owners Address: *	Address is required.
Owners City, State and Zip Code: *	Required.
Owners Phone Number: *	Phone is required.
Owners Work Phone Number:
Owners Cell Phone Number:
Patient Name: *	Name is required.
Patient Species:
Patient Breed:
Patient Age:
Patient Weight:
Patient Sex:
Case History: Chief concern/Provisional Diagnosis/History
Vaccine History: Dates Last given for Distemper
Vaccine History: Dates last given for Rabies
Vaccine History: Dates last given for Kennel Cough
Vaccine History: Dates last given for FELV
ATTACHMENT Diagnostic Test Results: Please attach results if possible for last done: Chem. Panel, CBC, U/A, T4
If you cannot attach results, please summarize?
ATTACHMENT Please attach radiographs in JPEG, bitmap or DICOM format
If you will not be attaching radiographs, will the owner bring them in?	yes no
If no to the above two radiograph questions, will you mail the radiographs? They will be mailed back promptly.	yes no
Current therapy and medication (include dosages):
Additional comments/requests:
Referring Veterinarian Name:
Referring Veterinarian Hospital Name:
Referring Veterinarian Address:
Referring Veterinarian City, State and Zip Code:
Referring Veterinarian Phone Number:
Referring Veterinarian Fax Number:
Referring Veterinarian Email address:
Would you like to receive a call:	Day of Discharge? Day of Exam
If I cannot reach you personally the day of exam or the day of discharge, would you prefer I:	Leave verbal msg with one of your receptionists? Fax you a note?
THANK YOU FOR YOUR REFERRAL FROM Boston VETERINARY SPECIALISTS. You will receive a detailed letter describing my findings, recommendations and treatment. If there is any other comments, please include them here:

Our Continuing Education Series.

Doctors Henry, Briere and Reese lead CE courses throughout the year for practicing veterinarians on a wide range of topics in veterinary surgery.

Current Course Schedule:

February 22, 2012	Dr. Henry, "Degenerative Lumbosacral Stenosis (L7-S1 Disease)"
March 7, 2012	Dr. Reese, " Lumps and Bumps: Management of Skin and Subcutaneous Masses"
March 14, 2012	Dr. Henry, "Diagnosis and Surgical Management of Juvenile Canine Hip Dysplasia: Juvenile Pubic Symphysiodesis Surgery"
March 21, 2012	Dr. Briere, "Tibial tuberosity advancement"
April, 25, 2012	Dr. Briere, "Wound management and skin reconstruction"

Call (781) 326-2140 to register.

Register online

Referring Dr.:	Referring Dr is required.
Practice Name:	Practice is required.
Phone:	Phone is required.
Fax:	Fax value is required.
Email:	Email value is required.
Speaker:	Speaker value is required.
CE Title:	CE Title value is required.
What CE topics would you like to see in the future?