Owner Information
First Name Last Name
Address
City State Zip
Phone Numbers
Home Work
Fax Cellular/PCS
   
Email      

Patient Information
Feline  Canine  Other 
Age   Weight   Sex   Neutered/Spayed
Condition
Hyperthyroid  Other 
       
When Diagnosed?        
Current therapy or medications and amounts
Referring Veterinarian
 
First Name Last Name Phone Number  

 Laboratory tests
(May need records from current veterinarian, x-rays, nuclear scans, etc.)
           
When is the best time to call to discuss the case?

 

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1-877-HYPRCAT (497-7228) Toll Free in MO, IL, KY, IN (or 618-498-2413) 8am-6pm M-F.  hyprcat.com is a division of Jersey CAlhoun Veterinary Hospital, 1201 S. State, Jerseyville, IL 62052.