OPEN Referring Veterinarian Report to 24.7 Greater Staten Island 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 (Goethals Bridge 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 (Outerbridge Crossing 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. Newark Bay Bayonne, NJ Upper Bay . 27 y 440 95 r. w er k T So that we can best address the P nd 278 Bayonne B ridge Richmo te G a oethal R t ic S h n Bri s mo Brooklyn, e dg nd Terr. ve. d A needs of your patient, please ar e NY G Staten Island, 278 . B e l vd t NY P 9 Richmond Bl k send this completed form and w ry Ba y o . y 440 Vict St . - any other relevant medical 27 278 Verrazanos Narrow lvd. ridge B B ry records with your client. to Vic l il Or send by FAX to: . K ve A 9 440 d Arthur 95 New n o Jersey m 917-830-1390 Rich 35 N or by EMAIL to: . y ill w r K k u P n Blvd. h s a Art n [email protected] Hyl ra 440 te e V r a W n . ea y Kor Lower Bay w k 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.