Veterinary Oncology Partners
  • Home
  • About
    • Our Story
  • Veterinarians
  • Chemotherapy
  • Pet Owners
  • Submit a Consult
    • Submit a Consult
    • VOP Affiliates

Order chemotherapy

Take me to the form
This form should only be completed once, and ONLY AFTER a New Patient Consultation has been completed for this patient, you have discussed options with your client, and you are ready to select a chemotherapy protocol. 

​​In filling out this form, you are telling VOP which chemotherapy protocol you and your client have selected. Upon submission of this form, VOP will ship the initial dose of chemotherapy to your hospital as well as all required safety equipment, complete description listed (HERE).
​  
VOP requires all supporting documentation to be submitted in an electronic format. This online form allows you to upload electronic copies of all labwork in a drag-and-drop format. VOP does not allow Email or Fax submissions at this time.  ​
  • Client and Patient Information (including patient weight)
  • Your hospital information (including phone, address, and email for reporting)
  • Updated History / Clinical Signs
  • Recent labwork (CBC required)
  • Diagnosis
  • Current Medication
  • Protocol choice, options include the following:
    • CHOP
    • Vinblastine
    • CCNU (Lomustine)
    • Adriamycin
    • Carboplatin
    • Leukeran
    • Vinorelbine
    • Mitoxantrone
    • Palladia
    • Piroxicam and/or Chlorambucil
take me to the form
​    Our Story
    Veterinarians
    Chemotherapy
    Pet Owners
Submit a consult now
  • Home
  • About
    • Our Story
  • Veterinarians
  • Chemotherapy
  • Pet Owners
  • Submit a Consult
    • Submit a Consult
    • VOP Affiliates