Veterinary Referral Form

Lisbon Road Animal Hospital Rehabilitation Center.

This form is intended for a referral from another Vet Clinic. If you are a client, please use the Rehab Client Form.

Client Information

Are you a client or a referring veterinary hospital?



Pet Information

MM slash DD slash YYYY



Referring Veterinarian

Preferred method to receive patient progress updates :

Pet Medical History

This Patient is referred for (Please check one)

Is patient current on vaccines

Max. file size: 50 MB.

****Thank you for the referral! Please send medical records including surgery report, imaging studies, and recent lab work prior to the initial appointment ****

LRAH is a treatment center focusing on pain management, animal rehabilitation, and fitness. Our patients return to their primary care veterinarian for primary care.


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Who will benefit from these services?

  •  Patients before and after orthopedic surgery
  •  Patients recovering from injury
  •  Patients who need to lose weight
  •  Sporting and Working dogs
  •  Patients with arthritis