Referral Data Form

Thank you for the trust you have placed in us by referring your valued clients and patients. Dr. Dave Edinger and his staff bring a wide variety of skill sets and knowledge to a case, providing comprehensive and compassionate advanced care.

When you refer a case to Edinger Surgical Options we work in collaboration with your clinic. After a review of medical records, a thorough examination, and any necessary diagnostic procedures, Dr. Edinger presents each client with a diagnosis, providing an overview of all surgical and non-surgical options for care. When treatment and initial follow-up is complete, we refer the patient back to your clinic for further follow-up and provide a complete report.

To refer a case we recommend you complete the Referral Data Form and submit it through our secure connection. For assistance you may call 608-845-0002 or email .

Patient Information

Client Information

Referring Veterinarian Information

Patient History

Physical Exam Findings

Previous Diagnostics


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