laboratory latest

Clinic Information

How would you like to be informed of the results?

FaxE-mailOther

Client Information:

Appoinment Information:

Appointment is On

The Patient will come with
OwnerClinic EmployeeOther

Documents (Max 2MB):

X-rays (Max 2MB):

Region that shall be scanned:
Spinal Cord

C1-5

C6-Th2

Th3-L3

L4-S3

Head -CNS and Ears

Splanchnocranium CNS/Joint

C1-5

Kindly provide brief description on general medical history/ diagnosis/ chronic disease/ anesthesia reaction/ know allergic reaction/ sensitivity.

Medications (Please list al current drugs and dosages: Indicate special diet needs)

Recent CBC & Biochemistry Result

Kindly note results should be within two days prior to scheduled scan date. (This is mandatory for anesthesia).

Referral veterinarian will perform and upload the result on your user accountPlease perform at Dr Vet Animal Hospital

SpinalTap Requested?

Collection of cerebrospinal fluid (CS) from the spinal canal can be performed under same sedation and after the scan at an extra cost

YesNo

Has this patient has a previous CT/MRI done?

YesNoNot Sure

Does the patient have pacemaker, microchip, hemoclips or other implants?

YesNo

Microchip Removal Requested (at an additional cost) Before the scan?

If the microchip is located close to the area of interest that needs to be imaged, it can potentially cause artifacton the MRI images. In such cases, it might be advisage to consider removing the microchip to ensure the quality of the images.

YesNo

Please select how soon you need the diagnostic report. Our pricing varies based on the urgency level you choose:

Standard Report: Receive your report within 2-4 working days.Priority Report: Get your report in just 4 hours. (this service is not available over the weekend)Urgent Report: Your report will be ready within 6 hours after the MRI is completed. (this service is not available over the weekend)

Please select how soon you need the diagnostic report. Our pricing varies based on the urgency level you choose:

Standard Report: Receive your report within 2-4 working days.

Urgent Report: Your report will be ready within 6 hours after the MRI is completed. (During weekends, it can take up to 24 hours)

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