Form Submission for Non-Referred Clients

Submit Medical Records to Friendship Veterinary Imaging Center

 

At Friendship Veterinary Imaging Center, most of our cases come through referrals from licensed veterinarians. However, we understand that there are situations where a referral may not be possible. For these cases, we offer an alternative pathway to access our advanced diagnostic imaging services.

If you are not working through a referral, the first step is to submit your pet’s or horse’s complete medical records for review. This allows our team to determine whether imaging is clinically appropriate and ensures that we have the background information needed to provide the best possible care.

How the Non-Referral Process Works

Submit Medical Records

Use the secure form below to upload your animal’s full medical history, including any recent diagnostic results, laboratory reports, and treatment notes.

Medical Review

Our team will review the records to assess your animal’s condition and confirm if imaging is recommended.

Brief Examination

If appropriate, we will schedule a brief in-person examination to ensure that imaging aligns with your animal’s current health needs.

Scheduling Imaging

Upon approval, our team will contact you to schedule the imaging appointment.

Results and Communication

We will share imaging results with you and, whenever possible, coordinate with your primary veterinarian for ongoing care.

Contact Us

To initiate a referral or inquire about our non-referral pathway, please contact us at 910.684.7111 or info@friendshipimaging.com. For non-referred clients, submit medical records via our secure portal or reach out to discuss next steps.

Friendship Veterinary Imaging Center is committed to advancing equine health through exceptional diagnostic imaging, delivered with expertise and care.

Non-Referred Clients Information Submission

Please complete and submit the form below.

Primary Care Veterinarian Information

MM slash DD slash YYYY

Please Share Your Information

Patient/Pet Information

Species(Required)
Gender(Required)
Neutered/Spayed
Has this pet previously been seen by Dr. Lustgarten?(Required)

Diagnostics pending?
Please attach the animal's complete record and medical history (include vaccine history, labwork, radiographs and any other pertinent information).
Drop files here or
Max. file size: 50 MB.

    Friendship Veterinary Imaging Center

    6045 US-1, Vass, NC 28394

    Phone: (910) 684-7111
    Email: info@friendshipimaging.com

    Hospital Hours:
    Monday - Thursday: 9:00 AM – 5:00 PM

    Small Animal After Hours Emergencies:
    Points East Veterinary Emergency Hospital
    1731 Convoy Lane, Fayetteville, NC 28303 | Phone: (910) 864-2844

    Equine After Hours Emergencies:
    NC State Equine & Farm Animal Veterinary Center
    1060 William Moore Dr, Raleigh, NC 27607 | Phone: (919) 513-6630