Veterinary Dermatology Referral

APPOINTMENT

Refer a Patient

Please fill out the form below to refer a patient to Coastal Virginia Veterinary Dermatology.

Referring Veterinarian *

Email *

Clinic Name *

Clinic Phone *

Clinic Fax *

Client Name *

Client Address

Address Line 1

Address Line 2

City

State

Zip Code

Client Phone

Pet Name

Age

Sex

Species

Breed

Reason for Referral *

Dermatologic History

Other Pertinent History

Current Medications

Date of Last Rabies Vaccination

Please attach any recent (<6 months) lab work, including blood chemistries and bacterial cultures.

Message

Contact Info

Phone: (757) 866-2320
Fax: (757) 866-2326
Email: CVVDerm@gmail.com

Hours

Monday: 8:00 am-4:00 pm
Tuesday: Closed
Wednesday: 8:00 am-4:00 pm
Thursday: By Appointment
Friday: 8:00 am-1:00 pm
Every Other Saturday: By Appointment
Sunday: Closed

Location

521 Old Great Neck Road Suite 2
Virginia Beach, VA 23454
Click here for directions.