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Specialist Referral Form

To refer a patient to one of the veterinary specialists at Animal Emergency & Referral Center, please submit the form below.

Referring Veterinarian Information

Client (Owner) Information

Patient Information


CLIENT INSTRUCTIONS: Please arrive at least 15 minutes before appointment time to fill out the necessary paperwork. Please bring any medication the patient is currently taking, including home therapies. NO food 12 hours prior to the appointment. Water is OK. If the patient is a diabetic, continue to feed as normal instead.

Thank you for the referral. We will fax and mail you a copy of the hospital report after discharge. Please call us at (772) 466-3441 if you have any questions or wish to expedite an emergency referral.

New Patients Welcome

Animal Emergency & Referral Center is accepting new patients! Our experienced vets are passionate about the health of Fort Pierce companion animals. Get in touch today to book your pet's first appointment.

Contact Us

(772) 466-3441 Contact