Referral patients | Eläinsairaala Aisti Oy

By sending your patient to Animal Hospital Aisti, the patient can quickly and easily get further examinations. We offer extensive diagnostic and treatment options in neurology, internal medicine, orthopedics and cardiology.

Using the attached form, you can make a non-urgent patient referral for further examinations or treatment. We are in contact with the customer and make an appointment for them. If you wish, you can also make the shipment by e-mail .

For urgent patients, we hope that you would contact us by phone .

Referral form

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Name of referring physician*
Telephone*
Email*
Customer data
Customer name*
Telephone*
Email*
Patient information
Patient name*
Animal species*
Race*
Date of birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
Prerequisites*
Studies done*
Suspected diagnosis*
Change
• Attachments (Blood sample tests, diagnostic imaging, visit reports)
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Name
This field is for validation purposes and should be left unchanged.

Referral form

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Customer data

Patient information