Online Forms for Dixon Animal Chiropractic

 

What is the Veterinary Referral Process?

Minnesota Law requires that a chiropractor obtain a referral from an animal’s veterinarian before providing services to that animal. Although this adds an extra step before the initial visit can occur, it is truly in the best interest of your animal! It ensures that bridges are built between the professions and that your pet is receiving integrated health care.

The referral process is generally quite simple and takes just a little time. It is handled entirely by our staff after your initial contact with us. If your veterinarian has any hesitation about providing the referral, you will be notified and steps can then be taken to aid the process.

 

What can you do to Help the Referral Happen as Quickly as Possible?

After you have asked us to obtain your referral, call your veterinarian. Tell them that you would like them to provide the referral and indicate your reasons for wanting chiropractic care for your companion.

 

What Information will we Need to Obtain the Referral?

  • Your name, address and telephone number
  • Your animal’s name, species, breed, gender, color, age, and spay / neuter status
  • Your reason for wanting chiropractic care for your animal (specific condition, wellness, etc.)
  • Your veterinarian’s name, clinic name, and telephone number

For your convenience, we have added an online veterinary referral request form for you to fill out and send to us.

 

Treatment Consent Form (To be completed by the client)

Download, print and send the Treatment Consent form to Dr. Jason W. Dixon if you would like for him to provide chiropractic care to your animal.
Adobe_PDF_file_icon_24x24 Download & Print Form

Veterinary Participation Form (To be completed by the veterinarian)

Download, print and send the Veterinary Participation form to Dr. Jason W. Dixon in order to provide chiropractic care to your client’s animal.
Adobe_PDF_file_icon_24x24 Download & Print Form

Release of Records

Download, print and send the Release of Records form to your veterinarian if you would like Dr. Jason W. Dixon to also have access to your animal’s medical records.
Adobe_PDF_file_icon_24x24 Download & Print Form

Brochure

Please print this brochure with valuable information about Animal Chiropractic.
*We are currently updating our brochure, it will be posted here upon completion.

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.