Hospital Requests

Local Veterinary Hospital Requests

Please fill out this form and we will contact you if we need any additional information in order to process your request. We will do our best to respond to your request as soon as possible but for urgent needs, please call us at (940) 271-1200.

Clinic Information

Name*

Name of Veterinarian*

Name of Veterinary Hospital*

Address*

City*

State*

Postal Zip Code*

Country *

Phone *

Fax

Email*

MEDICAL INFORMATION REQUESTED

Client's Name*

Patient's Name*

Date of Visit

Items Requested:

Medical Records Labwork Results Radiographs (we must have an email address - cannot be faxed) other:

OFFICE ITEMS REQUESTED

DCAER Brochures DCAER Magnets DCAER Pens

Comments / Special Requests

How to Find Us

Address

4145 South Interstate 35 E # 101, Denton, TX 76210

Phone

940-271-1200

Email

[email protected]

4145 S. I-35E, Suite 101,

940-271-1200

Nights – Weekends – Holidays

Hospital Requests

Local Veterinary Hospital Requests

Clinic Information

How to Find Us

Address

Phone

Email

Emergency Info

We are located

Enquiries

Information