1. Please supply documentation of vaccine status and heart worm testing.*
2. Please supply thoracic radiographs and biochemistries and CBC per-formed on the patient within the past 30 days. This is necessary prior to anesthesia.*
3. Please supply any pertinent history or medical information.*
Should this be treated as an outpatient procedure with the patient discharged to return to your hospital once recovered from the procedu-re?
MRI [please specify with (w) or without (w/o) contrast for site chosen]
Please specify any additional information or requests be-low: