Veterinary Referral Form

How to Complete

Use this secure form to share records or request a specialist referral for your pet. Whether you’re a referring veterinarian or a client needing specialist care, this form ensures your pet’s medical information is received quickly and accurately.

  • Provide the requested client and patient information.
  • Attach or enter relevant medical history or diagnostics.
  • Submit the form to send details directly to our team.

Dermatology Referral Forms

If you are a referring veterinarian or client seeking dermatology services with Dr. Liz Layne or Dr. Linda Frank, please use the dedicated Montana Veterinary Dermatology referral form.

This ensures your request goes directly to the dermatology team rather than 360 Pet Medical’s general referral system.

Access the Dermatology Referral Form here.

Urgent Cases

For time-sensitive referrals or emergencies, call (406) 551-2360 to speak with a team member.

Patient Referral Form

Client Information

Pet Information

Physical Rehabilitation Form

Client Information

Pet Information

Pet Condition