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Specialty Referral Form

To request a specialty referral at Burlington Veterinary Emergency & Referral Hospital, please submit the form below.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Fax

Please fax your completed form to (905) ­637-­4229

Download Form

Referring Veterinarian

Patient Information

Medical Details

*Please call lab to ensure we have permission to access patient’s after­hours lab results.

Emergency & Specialty Veterinary Referrals Welcome

Our emergency and specialty vets at Burlington Veterinary Emergency & Referral Hospital care for the health of Burlington companion animals. Refer your patient to us today.

Specialty Referrals Surgical Referrals

(905) 637-8111 Contact

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