Please attach relevant medical records below
including medical history, laboratory results and imaging results.
* If your patient requires immediate transfer, please call us at 2408 2588 after submitting this form.
You can find out how Mars and its affiliates (https://www.mars.com/made-by-mars) collects and processes your data, contact us with privacy questions, and exercise your personal data rights via the Mars Privacy Statement (https://www.mars.com/privacy).
By submitting this form, I acknowledge that I have informed the pet owner that I am referring the case to VSH and I have obtained their consent appropriately to share their personal data with VSH for this purpose.