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.

Name

Contact Info

Phone: (757) 866-2320
Fax: (757) 866-2326
Email: [email protected]

Location

3296 Dam Neck Rd
Virginia Beach, VA 23453
Click here for directions.

Peninsula Animal Referral Center (PARC)
We are here Friday and Saturday by appointment only.
1120 George Washington Memorial Hwy, Yorktown, VA 23693
Click here for directions.

Hours

Monday: Closed
Tuesday - Friday : 8:00 am-4:00 pm
Saturday: By Appointment
Sunday: Closed