Veterinarian Consult Clifton Location Only

If you are a veterinarian with a patient who has been diagnosed with—or is suspected of having—cancer in the Clifton, NJ area, we’re pleased to offer a complimentary consultation. If you’re located outside the Clifton area, please use our standard Veterinary Referral Form to be connected with the PetCure Oncology location nearest you.

"*" indicates required fields

Veterinarian*

First Name Last Name

Email*

Phone*

How would you prefer to be contacted?

Phone

Practice Name*

Pet Information

Signalment

Species

Breed

Sex

Age

Type of Cancer Suspected / Diagnosed?*

Pertinent History*

Diagnostics Performed?*

What would you like to know? (e.g., treatment options, next steps, other)*

Medications / Treatments

Attach Medical Records

Please note: file sizes of up to 100MB can be submitted through this form. If your file is larger in size, we recommend sending it to our petcure.clifton.mo@thrivepet.com email address.

Drop files here or

Accepted file types: gif, jpg, jpeg, png, mov, pdf, zip, Max. file size: 100 MB.