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2595 Portage Avenue Winnipeg, Manitoba R3J 0P5
(204) 832-1368
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Northen Community Patient Admission Form

Please provide the following details for patients arriving from northern communities via air transport.

Client Details

Patient Details

Medical Records / Lab Results / Radiographs Upload

Please provide previous medical history.

Flight Information

Please provide details to ensure a safe and timely arrival!

Birchwood Animal Hospital can provide transportation on a pre-arranged basis only.

Please contact us in advance if this is required. Phone (204)832-1368 or Email birchwood@mymts.net

Thank you for your confidence in our practice

Veterinary Topics