Let's Partner Together! Please fill out the referral form to get the process started Once we receive your referral form, Dr. Shah and her team will reach out to your hospital to have records sent over. Veterinarian Referral Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Veterinarian Name *Clinic Name *Clinic Email (After-visit summaries will be sent to this email address) *Clinic Phone *Client's First Name *Client Last Name *Client Email (Client intake form will be sent to this email address) *Client Phone *Client Street Address Other Expiration reason Client City *Patient's name *Expiration date of most recent rabies vaccine *Diagnosis / referral reason *Other medical issuesCurrent medicationsAny other relevant informationWould you like to receive HHVS information to hand out to your other clients?Business cardsBrochuresBothNo thanksSend Message