Bluegrass Veterinary Specialists

Internal Medicine Referral

2568 Richmond Road

Lexington, KY 40509

(859)268-4444

Fax (859)268-7872

Referring Veterinarian:__________________________________________________

Clinic address:_________________________________________________________

Clinic Phone Number:___________________Fax:____________________________

Owner:_______________________________________________________________

Owner address_________________________________________________________

Phone number (H)_____________ (W)________________ (C)___________________

Pet name:_______________ Signalment__________________ Weight____________

Reason for referral:

Patient medical history and Concurrent problems:

Diagnostics performed (please include copies of labwork, medical record notes, radiographs, etc)

Treatments received (please include mg dosages)

Directions on Page 2 – please have owner bring referral form with medical information to appointment

Bluegrass Veterinary Specialists is an affiliate of Sheabel Pet Care Center

Dear Doctor,

Thank you for referring this patient to the internal medicine section at Bluegrass Veterinary Specialists. Please have the owner bring this referral form to the appointment. You will receive a referral letter and a copy of the discharge instructions after the appointment. If you have any questions regarding follow up care and treatment, please do not hesitate to call me.

Sincerely,

Antu Radhakrishnan, DVM

Directions:

From points north: I-75 South to Man ‘O War exit. Turn right. Man ‘O War South to Richmond Road (about 3 miles). Turn right on Richmond Road. The hospital will be on the left behind the McDonald’s (about 1 mile)

From South: I-75 North to KY 418 (exit 104) to Lexington/Athens. Turn left at the end of the ramp (Athens Boonesboro Road, 418 west). This road becomes Richmond Road. The hospital will be on the left behind the McDonald’s (about 5 miles from I-75).

From I-64: Take I-64 to I-75 South. Follow Directions above from points north.

From Nicholasville, Versailles, Midway, and other points south and west: Take New Circle Road (KY 4) south or east once in Lexington. Exit at Richmond Road(Exit 15). Turn right. The hospital will be on the right behind the McDonald’s (first traffic light).