Please fill this information directly or as a provided PDF.  Dr. Atkinson is available for case discussion via phone or email to referring doctors or clients.

Owner Name
Referring Veterinarian
Referring Hospital
Owner Contact
Primary Phone
Primary Phone Type:
Secondary Phone
Secondry Phone Type:
Work/Other Phone
Work/Other Phone Type:
Patient Information
Pet Name
Date of Birth
Type of Pet
History Reason for Referral
Preliminary Diagnosis
Other Medical conditions pet is currently being treated for.
Current medications and date of initiation or most recent dosage change.
Additional Information
We request the last 6-12 months of relevant medical records, including all laboratory tests, chest radiographs and other diagnostic reports. Please send either directly to the owner, or via email at [email protected] or via fax at (503) 433-1932.
Radiographs are
Radiographs will be promptly returned. Heart of Oregon Veterinary Cardiology will email or fax a copy of the discharge summary to you promptly. Dr. Atkinson is always available to speak with you about the case by calling (971) 727-3059 Monday through Friday