We are currently accepting applications for the position of Client Service Representative.

Important Update:

Changes to our Friday hours of operations.

Effective Friday, February 20, 2026, our practice will be staffed 1:00PM – 5:00PM for scheduling, medication refills and referral information.

For clients with a postoperative patient, please call/text the on-call mobile number provided to you at discharge.

If you have any questions regarding this change, please contact us at 205-235-8759 or referral@vovcbham.com

Referral Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Get Started

Referral Form

If you cannot fill the form out in its entirety, please use the Save and Continue Later button at the bottom of the page, enter your email and receive a link which will allow you to finish later. This link will expire in 30 days.

Client Information

Client Name or Organization Name *

Primary Phone Number *

Secondary Phone Number

Client Email *

Email *

Client Address *

Address Line 1

Address Line 2

City

State

Zip Code

Has the CLIENT had a patient seen at Veterinary Orthopedic & Vision Center before? *

Yes
No
Not Sure

Has this PATIENT been seen at Veterinary Orthopedic & Vision Center before? *

Yes
No
Not Sure

Patient Information

Patient Name *

Weight (kg) *

DOB *

Sex *

Male
Male Neutered
Female
Female Neutered

Species *

Dog
Cat
Other

Please describe *

Breed *

Color *

Temperament *

Friendly
Use Caution

Specialty Service *

Orthopedics
Ophthalmology

Patient History *

Working Diagnosis *

Treatments/Medications *

Patient Medical Records *

Yes
No
Will attach separate in follow-up email. To prevent delay, please submit immediately upon completion of referral.

Upload File(s) *

Drag & Drop Files, Choose Files to Upload You can upload up to 15 files.

Diagnostics

Submit labwork and radiographs obtained within the last 6 months.

Labwork *

Yes
No
Will attach separate in follow-up email. To prevent delay, please submit immediately upon completion of referral.

Upload File(s) *

Drag & Drop Files, Choose Files to Upload You can upload up to 15 files.

Radiographs (DICOM format preferred. JPEG images downloaded from imaging software accepted.) *

Yes
No
Will attach separate in follow-up email. To prevent delay, please submit immediately upon completion of referral.

Upload File(s) *

Drag & Drop Files, Choose Files to Upload You can upload up to 15 files.

If neither can be uploaded, a copied link to your imaging software can be submitted. Please provide username and password if required to view images.

Other Diagnostic Reports *

Upload File(s) (copy) *

Drag & Drop Files, Choose Files to Upload You can upload up to 15 files.

Referring Veterinarian Information

Veterinarian Name *

Practice Name *

Practice Phone Number *

Practice Email *

Additional Comments

Phone

Save and Resume Later

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

Copy Link

Email *

Ready to Schedule a referral or consultation?

We proudly serve the pets of Hoover, AL, and beyond. Request a referral or consultation by clicking one of the buttons below.

Referring DVM

Consultation

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Contact Information

E: referral@vovcbham.com
P: 205-235-8759

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Find Us

2547 John Hawkins Parkway
Suite 103, Hoover, AL 35244

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Hours

Mon – Fri: 7:30 am – 5:30 pm
(Fridays closed 12pm-1pm for lunch)
Sat & Sun: Closed

HAVE A QUESTION?

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Get in touch! Complete our online form, and a member of our team will be in touch with you shortly.

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