Doctor Referral

Please complete this introductory transfer form or contact the Reception Desk at (859) 255-2275 or vwc@UptownHounds.com »

A staff member will call you within 24 hours to confirm this request. You can also download the form and print it out here

Reserve a room for your pet

  • Client Information

  • Client's name

  • Client's phone number

  • Client's E-mail Address

  • Street Address

  • City

  • State

  • ZIP Code

  • Referring Veterinarian Information

  • Vet's Name

  • Clinic's Name

  • Phone Number

  • Fax Number

  • Address

  • City

  • State

  • ZIP Code

  • Pet's Information

  • Name

  • Species

  • Breed

  • Birthday (MM/DD/YYYY)

  • Sex


  • Referred for/Diagnosis

  • Almost done!