Forms & Handouts

This page offers pdf versions of several useful forms for referring veterinarians.	You will need Adobe Acrobat Reader to open these files. If you do not have this program, you can download a free version by clicking here.
Referral Forms and Information These forms are intended make arranging a referral as easy as possible.	Fillable pdf Referral Request Form: This form asks the questions I need answers to before seeing your patient. The more pertinent information you give me, the better I can serve your client and patient Open the file by clicking on the link above and type the information into the fields (or cut and paste from your electronic patient records). Click 'file' then 'save as' to save the filled form to your patient record or where ever. Then send the saved form to us as an attachment to an email. Now you have a copy and we have a copy and everyone can read it because there is no doctor's hand writing anywhere to be seen. Fax Referral Request Form: This is the same form as above that you can print out, fill in by hand (legibly please) and fax to us. Referral Information: When you have seen a problem that you think requires my attention, give this sheet to your client. It will explain what is involved in bringing their pet to see me. Referring veterinarians are encouraged to read this paper that outlines what I need you to do and what you can expect me to do.
Client Education Handouts: You are welcome to download and distribute these informative sheets to your clients. I ask that you respect my authorship and use them "as is".	Dental Disease: A brief overview of dental disease in dogs and cats. Home Care: Information on why home care is so important and guidelines on training dogs and cats to enjoy having their teeth brushed. Indirect Pulp Capping: Chipped and worn teeth with no obvious pulp exposure may still be in need of treatment to protect the pulp inside the tooth. This sheet explains why. Direct Pulp Capping: When crown reduction is done for orthodontic reasons or as a "disarming procedure" or when a young tooth has an acute fracture exposing the pulp, direct pulp capping is indicated. Total Pulpecotmy: When a tooth has irreversible pulpitis or pulp necrosis, root canal treatment is the only alternative to extraction. Resorptive Lesions: One of the enduring enigmas of feline dentistry is the "neck lesion". This sheet was written several years ago and little has changed since then. Extraction of affected teeth and diligent monitoring for new lesions continues to be best course of action. Juvenile Dentistry: Puppies and kittens are subject to several oral and dental diseases. Timely recognition and treatment of these problems can often prevent much more serious problems in adulthood.
Consents and Waivers These are samples of some of the consent and waiver forms I use, just FYI.	Who Does What: Clients are asked to review this paper on arrival in accordance with the College of Veterinarians guidelines on Informed Owner Consent. Estimate and Consent: Each client (even my own mother) must sign a surgical consent form before I start any treatment. Orthodontic Waiver: Correcting orthodontic problems in dogs and cats involves some cloudy ethical issues. Disarming Waiver: Dogs and cats that bite can be made less dangerous by having their canine teeth shortened (followed by direct pulp capping) or extracted. Clients need to know and acknowledge that these procedures do not make the animal harmless, not does having this work done reduce the owner's liability and responsibility.
Other Forms	Abbreviations and Codes: This sheet defines the abbreviations and scoring I use in my dental records.