Referral Form Charlotte
Referral Type
Chief complaint (check all that apply) *
Has the patient needed sedation to be examined? *
Please send all medical records via email to, or fax them to (704) 588-7094.

Thank you very much for the referral and your continued trust in Southeast Veterinary Dermatology and Ear clinic. We are currently booking approximately 8-12 weeks in advance for new patients, though do have a frequently utilized cancellation list. If you could please relay this information to your clients we would greatly appreciate it. If you need assistance with managing a referred case, or believe your case is an emergency please call as we will do our best to assist.