Request a Consultation

Consultation requests are returned to you either the same or on the next business day – please get in touch if you have not received your report within the expected time frame.

Updated consulting days are Monday-Friday.

Note: This form will not save text and uploaded files until it is submitted. Please ensure that you complete the form in a single session or use the paper based form.

Note: If you are having issues with the new online form, please contact us at voc@vetoncologyconsults.com and you are welcome to download the PDF request form to submit your consultation via email. Thank you!

Please also note that the upload limit size has increased to 64MB but if your attachments are too large to submit here, feel free to email them separately.

Name of Veterinarian(Required)

Veterinary Practice(Required)

Practice Administrator / Billing Contact Person(Required)

Email Address for Billing(Required)

If you are in Australia – Is your clinic a VetFamily member?(Required)

NoYes – ( VetFamily)

If you are in New Zealand – Is your clinic an IndieVets member?(Required)

NoYes – ( IndieVets )

If you are in the Middle East – Is your clinic an Nova VetFamily member?(Required)

NoYes – (NovaVet)

Address(Required)

Please include City, State, Post Code and Country.

Phone Number(Required)

Email Address for Reports(Required)

What do you need for your patient? (Please choose one – all prices are in $AUD)(Required)

Email consultation ($300)

Phone consultation ($350) – this covers an email consultation plus phone consult with the requesting veterinarian (not the owner)

Follow-up consultation: for existing case management ($35)

Do you also need?

Chemotherapy protocol ($50) – all protocols are custom designed for the individual patient

Information on drug handling and administration ($15 each)

Would you like to receive additional information?

Client information sheets on treatment type and protocol ($15 each)

Client information sheet on tumour type and behaviour ($15 each)

Do you require a copy of this consultation without billing information included?

NoYes

Patient Information

Pet's Name(Required)

Owner's Last Name(Required)

Species(Required)

Breed(Required)

Age in years(Required)

Sex(Required)

Male IntactFemale IntactMale DesexedFemale Desexed

Weight in kg(Required)

Diagnosis(Required)

Please paste in or attach a copy of biopsy/cytology report

Diagnosis Files

Drop files here or

Max. file size: 128 MB.

History relating to current cancer(Required)

Please provide a summary of pertinent details including clinical signs, tumour size, duration, location, etc. If sending the medical record please also include a summary to orient us to the cancer problem.

Cancer History Files

Drop files here or

Max. file size: 128 MB.

CBC, Chemistry Profile, UA performed?

NoYes – ( Describe or attach files )

CBC, Chemistry Profile, UA results

CBC, Chemistry Profile, UA files

Drop files here or

Max. file size: 128 MB.

Other blood tests?

NoYes – ( Describe or attach files )

Blood test Results

Blood test files

Drop files here or

Max. file size: 128 MB.

Regional lymph node evaluation?

Not enlargedAspirated (describe or attach files)Biopsied (describe or attach files)Enlarged

Regional lymph node results

Regional lymph node files

Drop files here or

Max. file size: 128 MB.

Bone marrow evaluation?

NoYes (describe below or attach files)

Bone marrow results

Bone marrow files

Drop files here or

Max. file size: 128 MB.

Radiographs or CT

NoYes (Describe or attach files)

Radiograph or CT results

Radiograph or CT Files

Drop files here or

Max. file size: 128 MB.

Ultrasonography?

NoYes (describe or attach file)

Ultrasonography results

Ultrasonograph files

Drop files here or

Max. file size: 128 MB.

Any other diagnostic imaging or patient/tumour images?

NoYes (describe or attach file)

Eg. CT or MRI as well as any tumour or patient photographs that may be relevant

Other imaging results

Other imaging files

Drop files here or

Max. file size: 128 MB.

Cardiac evaluation?

NoYes (describe or attach file)

Cardiac evaluation results

Cardiac evaluation files

Drop files here or

Max. file size: 128 MB.

Current drug therapy and/or response to previous medications?

NoYes (describe or attach file)

Drug therapy and/or response to previous medications results

Drug therapy and/or response to previous medications files

Drop files here or

Max. file size: 128 MB.

Other pertinent medical history?

NoYes (describe or attach file)

Other pertinent medical history details

Other pertinent medical history files

Drop files here or

Max. file size: 128 MB.

Additional comments or specific questions?

NoYes (describe or attach file)

Additional comments or specific questions details

Additional comments or specific questions files

Drop files here or

Max. file size: 128 MB.

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Request a Consultation

Consultation requests are returned to you either the same or on the next business day – please get in touch if you have not received your report within the expected time frame.

Updated consulting days are Monday-Friday.

Patient Information

Providing the highest possible quality of life for pets.

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