Ultrasound Request Form

Client Information (required)

Last Name:

First Name:

Patient Information (required)

Name:

Caine or Feline:


Breed:
  

Birth Date:


Presenting Complaint:

Referring Veterinarian Information (required)

Veterinarian Name:

Name of Hospital:

Telephone:    Fax:

Veterinarian's Email Address:

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What Our Clients Say…

"I have been using Dr. Tidwell’s radiology consult service for over 3 years. I couldn’t be more satisfied. The consults are fast and his vast knowledge and expertise makes me feel at ease. If I have any questions, I can call him for clarification. I send every radiograph I take for consultation so that I am never in doubt and I don’t miss any lesions. My clients appreciate that I care so much that I use a board certified radiologist to review the radiographs. Using Dr. Tidwell’s radiology consult service is like having a radiologist on staff." — Gary Zinderman, DVM
We here at Brawley Animal Hospital are so happy to have Dr. Scott Tidwell in our area! Not only does it increase revenue for our business by allowing us to do procedures we would otherwise have to refer out, it also helps us diagnose and treat our own patients using a higher level of medicine. It is much more convenient for our clients to get these procedures done at our hospital rather than having to be referred to a different hospital with different doctors. Dr. Scott Tidwell not only has helped us diagnose many diseases we wouldn’t have been able to without his service, he also is a great person to work with!! We highly recommend him!! -Dr. Angie Finkes & Dr. Summer Shivers — Brawley Animal Hospital-Mooresville, NC











Download Our
Ultrasound Referral Form

or Submit Online

Mail
180 Freshwater Lane Mooresville, NC 28117

Phone
407 766-8746

Fax
704 360 2115

Hours
Monday - Friday
9:00am - 5:00pm EST