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Emergency & Specialty Referral Form

To refer a patient to the emergency or specialty service at Veterinary Referral Associates, please submit the form below, or download and fax to (301) 977-1308

Download Form

IMPORTANT: To ensure we receive your referral, you must click the SUBMIT button at the bottom of the form. Also, the form may 'time out' if you leave it open too long without completing.

Referring Veterinarian

Patient Information

Medical Details

New Patients Welcome

Veterinary Referral Associates is accepting new patients! Our experienced vets are passionate about the health of Gaithersburg companion animals. Get in touch today to book your pet's first appointment.

(301) 926-3300 Contact