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