Welcome to Global Veterinary Services.  
Dr. Gumbs provides Orthopedic Veterinary Services in <strong>your</strong> facility!



Appointment Request Form

We will answer all e-mails within 24 hours during the week, and 36 hours on weekends.

If this is an emergency, please call me at 734.812.9504.


Your Name (required)


E-mail (required)


Referring Hospital and Phone Number:




Service Requested:
(Please check all that apply)
Cruciate - Unilateral
Cruciate - Bilateral
TPLO
Fracture Repair
Soft Tissue Surgery
Radiology Consultation

Comments:



Patient Info
Canine
Feline

Comments (please include breed, age, name, and any other pertinent info):



Date Requested
Emergency
Within 1 week
Within 2 weeks
Within 3 weeks


Additional Comments




Thank You for choosing Global Veterinary Services!


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