Skip to main content

Register Your Pet

Refer a Patient

Our Story
Our Vets
Pet Owner Resources
Referring Vets

949-936-0055

Our Story
Services
Our Vets
Pet Owner Resources
Referring Vets

Register Your Pet
Refer a Patient

Socials

Referral Form

Veterinary Surgical Specialists of Orange County

Veterinary Surgical Specialists of Orange County

2937 Edinger Avenue Tustin, CA 92780
949-936-0055

Date

Referring Hospital Information

Referring Doctor *

First Name

Last Name

Hospital Name *

Hospital Address

Street Address

Street Address Line 2

City

State

Zip

Hospital Phone Number *

Hospital Fax Number *

Hospital Email *

Preferred Method of Communication *

Client Information

Owner's Name

First Name

Last Name

Owner's Date of Birth *

Pet’s Name *

First Name

Last Name

Type of Pet *

Sex *

Breed *

Case History *

Treatments & Medications *

Diagnostics Performed (Please include all laboratory and diagnostic reports) *

Radiographs sent? *

YesNo

About

Our Story
Careers
Blog

Pet Owners

Pet Owner Resources

Veterinarians

Referring Veterinarians

Partner Hospitals

Veterinary Surgical Specialists of Orange County
AVSG Internal Medicine Emergency & Critical Care

Socials