Referral Letter

I, Dr. ____________________________________________________, have examined (referring veterinarian’s name)

________________________________________________the___________________________ (name of pet) (type of pet)

from_________________________________________________________________________. (name of rescue organization)

I recommend that he/she be referred to The Animal Medical Center through the AMC to the

Rescue fund for evaluation and the following specialty treatment:________________________

______________________________________________________________________________

_____________________________________________________________________________.

I will provide the pertinent medical records. After specialty care is provided, AMC will return

the pet to my general care.

______________________________________________________ Signature

______________________________________________________ Practice Name

______________________________________________________

Telephone Number