1- Basic Information
Pet Owner Name
Your Email
Pet Owner Phone
2- Veterinarian Information
Referring Vet Name
Clinic Name
Vet Email/ Contact
3- Patient (Animal) Details
Pet Name
Species DogCatOther
Breed
Age
Sex MaleFemaleNeuteredSpayed
5- Diagnostic Details
Type of imaging Needed X-rayCTMRIUltrasound
Preferred Appointment Date
Urgency YesNo
4- Case Description
Presenting Complaint (Short summary)
Relevant History
Medication & Treatments Given
6- Files Upload
Upload your files
7- Consent
I Consent to Vetray reviewing and storing this case for diagnostic and consultancy purposes