Dr. Derek Duval Case Referral

Atlanta Metro Area

Internal Medicine

Dr. Derek Duval is available to serve general practices in Atlanta and the surrounding metro areas. Use the form below to submit the complete details of your case to Dr. Derek Duval. Looking for Dr. Julie Duval? Click Here

Veterinary Internal Medicine Specialist in Atlanta GA

Derek Duval, VMD, DACVIM

Chief of Internal Medicine

404-725-4753

Hospital & DVM Info

Please complete the following information about the referring hospital facility and attending DVM:

 

Pet Owner Info

Please complete the following information about the pet owner:

 

Patient Info

Please complete the following information about the animal you are referring:


Sex:
MaleFemale
Is the patient spayed or neutered?
YesNo
Describe the patient's temperament:
CalmUnpredictableAggressive


List current medications:

 

Known co-morbidities (Check all that apply):
NoneCushingsDiabetesGeriatricHeart DiseaseImmunocompromisedOverweight

Bloodwork status:
CompleteNot Yet

 


Attach Diagnostics
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