We are committed to caring for your pet – while maintaining the highest level of safety for our Associates and pet owners. We thank you for your continued patience and support. Learn more about our COVID-19 response and guidelines.
Read More
Veterinary hospitals continue to see an unprecedented level of emergency cases. While our emergency service is currently open and operating, we may need to change to “diversion status” at any time. We ask that you call us at 561-434-5700 prior to coming to our hospital to ensure that we will be able to offer you the high standards of service that you have come to expect. We appreciate your patience and understanding.
Read More

Thank for choosing Palm Beach Veterinary Specialists as your partner for emergency, specialty, and advanced care. We sincerely appreciate the opportunity to work with you to care for your patients.

VCA Referral Form
In order to help our veterinary staff accurately assess your patient's current status, we ask that prior to referral; please complete the referral form below.

Download VCA Referral Form

Referral Form

All fields are required unless otherwise stated

Some information is missing. Please see below for details.

(optional)
(optional)
Services Requested
(optional)
(optional)
(optional)
(optional)
If available, please send the following with your client; patient information to include:
  • Medical Notes/Records
  • Imaging
  • Lab Work Results
  • Treatments, including last time administered
  • X-Rays
  • Other
Guardian Details
(optional)
(optional)
(optional)
Patient Details
Sex
Tentative Diagnosis/Chief Complaint
History/Physical Findings (optional)
Treatment (including medications and dosages) (optional)
Special Requests/Comments (optional)
We respect your privacy and will not share your information with other parties. For more information, see the Privacy Policy.

Some information was missing. Please see above for details.

Loading... Please wait