OPEN Referring Veterinarian Report to 24.7 Greater Veterinary Services 365

Referring Veterinarian: Date: Hospital: Address: City: State: ZIP: Phone: Best time to call: Fax: E-mail: Owner’s Name: Phone: Please indicate your preferred method of communication: n Phone n Fax n Email n Other

PATIENT DESCRIPTION: Name: Date of Most Recent Rabies VAX: Species: Breed: Age: M n C n yrs./mos. F n S n wks./days

HISTORY: (Attach additional sheets if necessary)

REASON FOR REFERRAL:

DRUGS ADMINISTERED: (Include Dosage and Time Administered)

RECORDS INCLUDED: q Medical records q Laboratory reports q Digital radiographs Records, including digital radiographs (in .jpg format) may also be emailed to [email protected]

Greater Staten Island Veterinary Services 3135 Victory Blvd. | Staten Island, NY 10314 | Tel: 917-830-1380 | Fax: 917-830-1390 | gsivetservices.org 24 HOUR EMERGENCY & CRITICAL CARE OPEN Greater Staten Island Veterinary Services 24.7 is an emergency/critical care facility which provides care to patients in 365 immediate need of veterinary medical treatment. GSiVServices is equipped to provide respiratory therapy, circulatory and cardiac monitoring, nutritional support, blood transfusion therapy, and anesthesia support. The facility is fully equipped to swiftly and competently handle emergency conditions that may arise. Your pet and family will receive the expertise and support of a dedicated staff, in a caring and nurturing environment. Whenever possible, please call ahead to let GSiVS know you are sending in a patient: 917-830-1380

Directions Greater Staten Island Veterinary Services is centrally located on Staten Island at the intersection of Victory Boulevard and Richmond Avenue in the Coral Island Shopping Center.

From the Eastern side of SI (Verrazano Bridge vicinity) take the Staten Island Expressway (I 278) West to Exit 10 toward Victory Boulevard. Make a Left onto Victory Boulevard. The hospital entrance will be less than one mile on your right.

From the Western side of SI ( vicinity) take the Staten Island Expressway (I 278) East to Exit 7 toward Richmond Avenue. Turn right onto Richmond Avenue, in .6 miles turn right onto Victory Boulevard. The hospital will be on your right.

From the Southern side of SI ( vicinity) take 440 N (West Shore Expressway) to Exit 7, Victory Boulevard. Turn Right onto Victory Boulevard. The hospital is 2 miles down on your left.

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P S Outerbridge G 440 Crossing Greater Staten Island Veterinary Services 3135 Victory Blvd. | Staten Island, NY 10314 | Tel: 917-830-1380 Fax: 917-830-1390 | gsivetservices.org | felinehyperthyroidism.com 24 HOUR EMERGENCY & CRITICAL CARE