Please complete and submit this form prior to your consultation at Synergy Integrative Veterinary Clinic (SIVC).

If your pet is currently under the care of your primary care veterinarian or a surgeon, you may ask them instead to complete and submit the veterinarian referral form.

Please have all lab work and radiographs electronically sent to SIVC 72 hours prior to your scheduled appointment.

Step 1 of 3 - New Client Information

  • New Client Information

  • Enter the name the pet records are listed under.
  • Hospital Name, Address & Phone Number