Animal Imaging
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972.869.2180 6112 Riverside Drive, Irving, TX 75039

MRI Referral Form - Equine

Each patient should have a physical exam, CBC, and/or chemistry panel to ensure safe anesthesia (approximately 1.5 to 2 hours). If available, send lab results with this order. The patient should arrive the evening prior to the scheduled exam. Properly restrict diet. Do not feed 12 hours prior to exam. If the horse is insured, please notify the insurance company prior to general anesthesia. Please advise of HYPP status, if available.

WE HIGHLY RECOMMEND THAT YOU SUBMIT ALL RELEVANT MEDICAL RECORDS AND LAB WORK SO WE CAN BE PREPARED FOR EACH CASE.

Patient Information



Referring Veterinarian Information

Yes     No
Yes     No

The lameness ideally will have been blocked to a specific region of interest. Another area will result in additional time and fees.

Yes     No
Yes     No


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