Nuc Scan Referral Form

Hello,

Below is the history form for your patient's Nuclear Scintigraphy exam. Please complete the history form to the best of your knowledge and send back to BW Furlong & Associates 24 hours prior to your client's appointment. If you would like to speak to Dr. Gold further regarding this appointment, she can be reached at 908-625-6623 or sgold@bwfurlong.com. We ask that horses arrive between 7:45 and 8:00 am the morning of their scan.

Thank you for scheduling with BW Furlong & Associates!
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    Horse Information

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    Soundness History

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