Submit an Imaging Case | Zidane Diagnostic

ZIDANE DIAGNOSTIC

Clinic / hospital *Referring veterinarian *Email *TelephonePatient name *Patient IDSpecies *BreedAgeModality *Body regionRequested service *Priority

Clinical history *Primary diagnostic question *Choose imaging filesDICOM / ZIP / images / PDF / videosI confirm that I am authorised to transmit these veterinary records and that identifying information is limited to what is necessary for the requested professional service.

This form is not an emergency service. For an unstable patient or immediate clinical emergency, contact an attending veterinarian or emergency facility directly.