Referral Forms

Veterinarian Referrals are not required, however are helpful to ensure your pets continuity of care.

For Referring Veterinarians:

Please click on the following links to download the Referral Request form (Word or PDF). You can either print and complete by hand, or save a Word version and complete it electronically. Once completed, please save/scan and email to sbelhouchet@companionrehab.com or admin@companionrehab.com. We will confirm receipt of all referrals. Thank you for your referrals.

Word Referral Request

PDF Referral Request