Patient Referral Form
Refer a patient to VetDERM Clinic online. Once we receive the referral, we contact the pet owner to book a dermatology consultation and report back to your office.
Fields marked with an asterisk are required. The more history you can share, the more we can prepare before the first consultation.
Working together on every referral.
We believe in a team-focused approach to veterinary medicine. Working with referring veterinarians helps us maintain patient care standards and client service. While we work on the dermatologic and allergy concerns, routine veterinary services — health check-ups, vaccinations and the rest — continue with the primary veterinarian.
Complete and submit the form below, or send the PDF version by fax or email. If you have questions before referring, please call or email us first: our reception team can answer booking and clinic policy questions, and one of our dermatology technicians can discuss the case in preparation for the initial appointment.
What happens next
- We receive your referral and review the case details
- We contact the pet owner to book the consultation
- A full dermatologic work-up at the initial appointment
- A complete record and referral report sent to your office
Have a case you would like to discuss first?
Call the clinic and one of our dermatology technicians will help.