519-376-PETS (7387) mail@greybrucepethospital.com…

For out-of-hours emergencies, please call 226-780-6957. Emergency Services

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Appointment

We will be open on December 24 from 8:00 a.m. to 12:00 noon, closed on December 25 and 26, open on December 27 from 8:00 a.m. to 1:00 p.m., open on December 31 from 8:00 a.m. to 12:00 noon, closed on January 1 for the holidays!

Rehab Referral Form

Fill out our online form or download it below.

Download Form

CLIENT INFORMATION

Client's Name *

First

Last

Client's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Client’s Phone *

PATIENT INFORMATION

Patient’s Name *

Species *

Canine
Feline

Breed *

Gender *

Male
Neutered Male
Female
Spayed Female

REFERRAL INFORMATION

Referring Veterinarian *

Clinic Name *

Clinical Condition *

Onset/Surgery Date *

Medical History/Concurrent Issues *

Current Medications (including nutraceuticals) *

Please provide any relevant diagnostics performed (i.e. bloodwork, radiographs)

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Desired Outcome (Check all that apply)

Restore range of motion
Pain management
Weight loss
Improve function
Strengthening/conditioning
Geriatric spa therapy

Preferred email address to receive treatment plans and updates *

Veterinarian’s Signature *

Clear Signature

Date *

Comment

Have questions?

Please don’t hesitate to contact us today!

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Location

1393 16th Ave East
Owen Sound, ON N4K 0J3
Click here for directions.

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Contact Us

519-376-PETS (7387)
mail@greybrucepethospital.com

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Hours

Mon: 8:00am - 6:00pm
Tues: 8:00am - 6:00pm
Wed: 8:00am - 6:00pm
Thurs: 8:00am - 6:00pm
Fri: 8:00am - 6:00pm
Sat: 8:00am - 1:00pm
Sun: Closed

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