To request a client consultation, please fill out the patient case summary form below. For a mobile ultrasound and/or procedure, go to the Mobile Ultrasound and Procedure Request. If you have any questions regarding this form, please contact Dr. Nancy Treadwell, Shreveport Veterinary Internal Medicine at the phone/fax numbers below or email us at

Contact SVIM at:318-224-2677
Send a Fax:1+ 318-301-6720

In-house consults are at your hospital or practice location. Telemedicine is online face to face in real-time discussion of case. Please email to receive a price sheet and more details.

Requesting Veterinarian

Please provide all relevant contact information so that we may get in touch with you.
First and Last Name


Pet Owner / Caregiver
First and Last Name

Patient Information

Please check all that apply.

Medical records, x-rays and images relative to your patient case summary may be emailed to