Veterinarian Referral | Canine Aqua Fitness

This referral page is for VETERINARIANS ONLY. If you are a pet owner interested in more information about our clinic and services, please fill out the New Patient Questionnaire.

Please complete the form below or for a printable version please use the following link Printable Vet Referral Form

* Required field

Client*

Patient*

Your Email*

Clients Phone Number*

Cell

Address*

Referring Veterinarian/Clinic*

Clinical Condition*

Onset/Sx date mm-dd-yyyy (must be in that format)

Medication*

Special Instructions/Precautions*

Does the patient have any xrays?*

Upload X-rays

Upload limit 4MB per photo. Max 4 photos Accepted file types (jpg, jpeg, png, gif, bmp and pdf) (**Wont send if exceeds upload limit or is not one of the accepted file extensions listed**) |

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Any contraindication and or concerns to Physical Rehabilitation for this patient?*

Date* mm-dd-yyyy (must be in that format)

Veterinarians Signature* (Sign with your finger or pen on touch devices or with your mouse on desktop)

Veterinarians Full Name*

Canine Aquafitness & Veterinary Rehab Centre

2 weeks ago

Here are our latest braces! So many colors... purple, red and yellow! After the initial fitting, our patients will be back for two more follow ups to make sure that the brace fits properly. Adjustments are done in clinic by our Dr. Catherine. ... See MoreSee Less

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Comment on Facebook 1881702705421192_2652673154990806

3 weeks ago

Donnie finished his 100th aqua! He's recovering from surgeries in both knees and elbows and getting stronger with each workout. Donnie gets to enjoy off-roading with his family again. Here he is with his little sibling and cheerleader, Duke. 😍😀
#canineaquafitness #dogs #doglover #dogoftheday #goals ... See MoreSee Less

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Comment on Facebook Donnie finished his ...

Donnie is my favorite

On the left, Prada being cool, getting her laser treatment...on the right, Prada jumping from the treatment table and telling Dr CP "I'm done now" 😄🐹❤️ ... See MoreSee Less

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Comment on Facebook On the left, Prada ...

She’s a sweet girl but when she is done there is no arguing with her🤪