Thank you for referring your client to Ann Arbor Animal Hospital. Please fill out the form below; when finished, click “Submit” at the bottom.

Please note that any client referred to the AAAH for a surgery must come in for a pre-surgery exam with the DVM who will be performing the surgery (1-2 weeks prior to the surgery date). This is necessary so that the DVM can proactively identify any issues which may contraindicate performing the surgery at this time.

Referring DVM Information

Client Information

Patient Information

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.