Boston Veterinary Specialists

Referral Form

Thank you for choosing Boston Veterinary Specialists! Complete your referral form online from any device at any time.
Online Forms

Referral Form

For your convenience, you may complete the following referral form and submit it through our website. Dr. Briere or one of our team members will be in touch with you as soon as possible. You may also download a PDF to complete and fax, mail, or hand deliver to our office.

Please be sure to attach or fax all pertinent records, reports, and diagnostic images with the pet owner to the appointment. Fax: (781) 326-9782. Email:

Have a difficult surgery case? Our board-certified surgeons are here to help! Give us a call at 781-326-2140 for a free consultation!

Owner Information

Patient Information

Vaccine History

Dates last given:

Diagnostic Test Results (If possible, please attach results):

Last done:
Click or drag a file to this area to upload.

Referring Veterinarian Information:

Click or drag a file to this area to upload.