For Referring Veterinarians
A printable one-page referral form for stable outpatient surgical cases. Fill it in the browser, print, sign, and submit it by email, fax, or upload. The same fields are available on the online referral form, choose whichever works best for your team.
Preferred intake: Submit records and this form via the online referral form. Fax and email are available for practices that still use them. Fax: soon — drop-off intake and fax number to be published on opening day. Time to intake: 24–48 hours. Reports back: 3–5 business days, sooner for urgent cases. Questions: reach out.
Simply Spayed
Veterinary Surgery
Referral intake
Sending this completed form indicates your records have been reviewed and the pet is appropriate for elective outpatient surgery at Simply Spayed.
On opening day, fax and a secure upload link will be added. Reach out via the contact page if your team wants a workflow we don't already cover.
Direct updates on opening day, intake process, and surgical report turnaround. We do not share this list.