Making Appointments

APPOINTMENTS WITH A SPECIALIST:  Veterinarians and clients are welcome to call us at any time to set up an appointment with a specialist in internal medicine, surgery, dentistry, radiology/ultrasound, cardiology and critical care.  We appreciate receiving a summary of the case prior to the scheduled appointment, including lab work and radiographs when available.   Our Outpatient Appointment Form is available for your convenience.  Our specialists are also available to you for phone consultations.

APPOINTMENTS FOR EMERGENCY AND URGENT CARE:  Emergency and urgent care visits are available at all times, seven days a week, with or without an appointment.  For emergency and urgent care cases you are sending, it’s helpful for our doctors to speak with you directly to discuss the needs of your patient.  For those pets you are sending to us for overnight  care,  please complete our Overnight/Transfer Form and Overnight Care Treatment Sheet.

Whether you are referring a patient to us for a consultation with a specialist, for emergency care or for overnight services, sending the owner along with records and actual films or a CD with the DICOM images is preferable.  Sending images in .jpeg format drastically reduces resolution and makes interpretation difficult.  Please help us to make the best care decisions for our mutual patients by sending DICOM images if at all possible.

RADIOGRAPH INTERPRETATION:  Clinics wanting to send images to Four Seasons Veterinary Specialists for a radiographic report, need to be set up with DVM Insight.  DVM Insight is the company that we uses to view DICOM files which are too large to email to us. Drs. Lowry and Felumlee much prefer to view x-rays as DICOMS rather than as the much smaller JPEG files that can be sent through email.  DVM Insight is only for getting images for radiograph interpretations.

Getting set up to send digital images is easy:
1. Log on to, then click on contact.  Then click on Information Requests.
2. Click on the e-mail address on this page, and send a request to get configured to send Mountain Veterinary Radiology their DICOM images.
3. DVM Insight will get in touch promptly and explain how to get configured.  It is quick and easy.  MVR will receive a test case and send the veterinary clinic a test report.
3. Billing for the radiographic interpretations will come from MVR at $42 per report.
Once configured, referring veterinarians can use the site whenever they want to send MVI images for an interpretation.


A second opinion on a difficult case can make a difference for your patient.  Our board certified specialists in Internal Medicine, Critical Care and Cardiology are available for phone consultations.  By providing a case summary, lab work and diagnostics, you can receive an in-depth phone consultation and/or written report on the case.  We strive for a 24-hour or less turnaround.  There is no charge for brief phone consults;  a $45 charge applies for written reports or in-depth phone calls.

To request a consultation, please complete a Request for Specialist Consultation form and return it to us with labwork and radiographs, if available.   Our primary goal at Four Seasons is to support veterinarians in providing the best possible care to patients.

Whenever possible, we prefer to receive radiographs as DICOM files. Images sent as .jpegs have poor resolution which makes interpretation difficult.

Continuing Education

The doctors at Four Seasons Veterinary Specialists are dedicated to advancing the practice of veterinary medicine and sharing their expertise with the community.  Our specialists are available for a variety of educational opportunities for you and your staff including:

  • Accredited Continuing Education:  any of our veterinarians can prepare programs to suit your interests for CE credit
  • Lunch and Learn:  informal talks in your office to review cases, discuss specific topics, or general Q & A
  • Radiology Rounds:  a great way to hone your radiology skills, get CE credit and have your radiology cases evaluated

Four Seasons accepts veterinary technician students into our practice to help them gain valuable clinical experience.  During the six week intern program, students rotate through the following services:  critical care (emergency medicine and intensive care), internal medicine, cardiology, dentistry, diagnostic imaging, and surgery.  Contact our Human Resources Manager Ann Zenisak at (970) 800-1106 or [email protected] for more information on internship programs.