Outpatient Ultrasound Request

A completed outpatient Ultrasound request form is required prior to making an appointment for outpatient ultrasound.

After submission of this form, please call Melbourne Animal Specialist Hospital on 1800 838 787 to make an appointment for outpatient ultrasound.

"*" indicates required fields

Referring Veterinarian*
Owner Name*
Are there any contraindications for sedation or general anaesthesia:*

NB: CT is more sensitive than ultrasound for lesion detection in patients over 25 kg. For patients over 25-30 kg, depending on the reason for ultrasound examination request, CT may be a more sensitive test.

2012 Sep-Oct;53(5):513-7. doi: 10.1111/j.1740-8261.2012.01949.x. Epub 2012 May 22.
Comparison of abdominal computed tomography and abdominal ultrasound in sedated dogs, Erica L Fields 1, Ian D Robertson, Jason A Osborne, James C Brown Jr.