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FOR VETERINARY PRACTICE USE ONLY! Referral information Instructions. Enter the pet owner contact information in the Owner information block. In the " Hospital/Clinic Contact information" section, enter your Practice contact information including Clinic Name, Address, Clinic Email, and Clinic Phone Number, and name of the referring veterinarian Example: Best Vet Animal Hospital, 123 Here Street, City, State, 75214, bestvetanimalhospital@email.vet, (123) 456-7890, Dr. Smith.