We’d love to read your radiographs! To “Make The Switch” to VetRad, simply complete the form below. A member of our Support Team will contact you. Request for VetRad Information To request information about our services, please contact us at maketheswitch@vetrad.com. New Client Request Veterinary Practice Name(Required) Please select a practice type(Required) General Practice Urgent Care Specialty Specialty & Emergency Emergency What Hospital Management System do you use (ezyVet, Cornerstone, Avimark, etc)(Required) Corporate Affiliation (VetCor, VCA, Blue Pearl, NVA, etc.) Please specify affiliation Phone(Required)Fax(Required)Address(Required) Address Line 2 City(Required) State(Required) Zip(Required) Country(Required) Primary Contact Email for SERVICE SET UP(Required) Primary Contact NAME for SERVICE UPDATES AND NOTIFICATIONS(Required) Primary Contact EMAIL for SERVICE UPDATES AND NOTIFICATIONS(Required) Preferred Method for Service Setup? Request Self-Service Guide Schedule an Appointment for Setup Preferred Method of Communication for Finalized Reports? Email Fax Other Primary Contact NAME for BILLING SERVICES(Required) Primary Contact EMAIL for BILLING SERVICES(Required) What is Your Preferred Method of Communication for BILLING SERVICES(Required) Email Mail Both List of current hospital doctors(Required)Anticipated Case Submission WEEKLY Volume(Required) What is Your Current Teleradiology Provider(Required) How Did You Hear About Us?(Required) Additional notes or questions