Laser Referral Form

We are happy to “be your laser!” Not every practice has the time, staff and facilities to do laser therapy, and not every client has the resources to do full rehabilitation. At Healing Arts Animal Care, we recognize this gap and would like to help you fill it! It is our philosophy at Healing Arts Animal Care that we are support for our referring veterinarians. If your client decides after starting with laser treatment that they want to come for a full rehabilitation evaluation, we will keep you informed of the change of VCPR for this treatment.

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Client name:*
Patient name:*

Diagnosis and location(s) for treatment:*

Release of liability:

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(we ask for your license number to prevent forgery of this document)

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