Veterinary Teaching Hospital

Cardiology Consultation

This is NOT an Online-submitable form. You may print this form and hand write the contents or you may type your responses and then print the completed form.

Please indicate how you would like to be contacted (i.e., fax, phone, email) and list contact information.

Date of Examination
Patient Name
Signalment

Pertinent History/ Laboratory Abnormalities:

Physical exam findings, i.e., jugular pulses, heart rate, murmurs (timing and point of maximum intensity), respiratory abnormalities (i.e., rate, noise, effort-inspiratory, expiratory)

Current Medications and Doses:

Please indicate interpretation/s requested:

ECG  ($64)
Thoracic Radiography ($64)
Echocardiography (digital video files preferred) ($76)
ECG, Thoracic Radiography and Echocardiography ($204)

 Other  Specify 

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When submitting a FAX or a consultation on a critical case, please contact the Cardiology Service at 509.335.0711 or cardiologyconsults@vetmed.wsu.edu and inform the clinician that the materials are coming.

Thank you for your referral,

Lynne Nelson, DVM, MS Diplomate ACVIM (Internal Medicine and Cardiology) olnelson@vetmed.wsu.edu

Sunshine Lahmers, DVM lahmers@vetmed.wsu.edu

Raychel Fairchild, RVT Cardiology Technician rfairchild@vetmed.wsu.edu