Triage Submission - GuardianVets

What Is The Name Of Your Hospital?

Please Provide The Best Email Address For Contacting You.

Phone Number

Please Select Your GuardianVets Contract

After Hours TriageDaytime OverflowVirtual CSR

Please Note: As Of March 1st 2022 There Has Been A Price Adjustment For Additional Coverages.For After Hours Triage Hospitals: $50 An Hour.For Daytime Overflow Hospitals: $50 An Hour.For Virtual CSR Hospitals: $75 An Hour.

Terms and ConditionsPlease Note If Given Less Then 48 Notice The Max Daily Fee Could Be Increased To $300 To $750 Depending On The Service.

What Date Do You Need The Additional Coverage?

What Time Will Your Coverage BEGIN?

What Time Will Your Coverage END?

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Additional Coverage Request Form

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