Send a Case to MRIvets
PLEASE NOTE: You will need to send us images by DICOM transfer. Instructions will be sent to by email after you press submit.

If you need a STAT interpretation, we will ask you to indicate that below, and for the fastest response, please ALSO email us at Cases@mrvets.com to let us know when we should expect to see the images on our server.

Date the Images Were Acquired *
MM
/
DD
/
YYYY
Name of Imaging Facility *
Your answer
Referring Doctor *
Your answer
Modality *
Please see pricing here: www.mrvets.com/our-services.html
Required
Is this case a STAT? - (Cost is +$63 Monday through Friday during regular hours, and +$100 after hours, weekends, or holidays) *
If marked STAT, you will receive an immediate call from us to discuss our findings after we review your images, and the final report will follow within 24 hrs. NOTE: if you mark STAT, you must include your direct phone number below. For the fastest response, please email us at Cases@mrvets.com to let us know when we should expect to see the images on our server.
If STAT, please provide your direct phone number and extension
Please note, if you do not provide your direct phone number here, we may not be able to reach you in a timely manner. If you don't receive a timely response, there may be a glitch in our system. Please email Cases@mrvets.com to let us know when we should expect to see the images on our server.
Your answer
Patient Name *
Your answer
Patient Age
Your answer
Species and Breed
Your answer
Patient Sex
Patient History
Your answer
Notes to Drs. Gavin and Sage
Here you can tell us when the exam is happening, when you need us to be available for a call, etc. If you want us to specifically address something in our report, please put it here. To prevent confirmation bias, we do not review patient history before we review the images.
Your answer
Where should we email the INVOICE?
Please separate additional email addresses with a comma. Note: this field is optional and if nothing is written we will bill the imaging facility
Your answer
Where should we email the REPORT? *
Your answer
Do you need a summary of this form? Enter YOUR email here.
If you place your email address here you will get a summary of your form entries. Please note that messages of this type often end up in spam. If you don't get an email, don't worry...we will still get your case.
Your answer
Please read before you press "submit."
Is this a STAT? for the fastest response, please email us at Cases@mrvets.com to let us know when we should expect to see the images on our server. But don't forget to also hit "submit" on this form below.

When you press submit, you will see a confirmation screen. On that screen are instructions about how to send images to our server. If you entered your personal email address above, you will receive an email summary of your form entries. Please understand that these types of messages often end up in spam filters. If you see the confirmation screen, we have your case.

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