Communication Preference Please take the time to compile a list of all the veterinarians, first and last names, in your practice. Company Practice Name 1. Clinician Name: When Clients are referred to our practice do you prefer a (Check all that apply): Faxed preliminary report Telephone call Email report Email Address 2. Clinician Name: When Clients are referred to our practice do you prefer a (Check all that apply): Faxed preliminary report Telephone call Email report Email Address 3. Clinician Name: When Clients are referred to our practice do you prefer a (Check all that apply): Faxed preliminary report Telephone call Email report Email Address 4. Clinician Name: When Clients are referred to our practice do you prefer a (Check all that apply): Faxed preliminary report Telephone call Email report Email Address 5. Clinician Name: When Clients are referred to our practice do you prefer a (Check all that apply): Faxed preliminary report Telephone call Email report Email Address
