Central Animal Emergency ClinicPatient Referral
Patient Referral

Central Animal Emergency Clinic Patient Referral Form

Please complete this form when referring a patient to our emergency veterinary team to provide us with the essential information needed for their care. Fields marked with an asterisk (*) are required. Once the form has been submitted, please call us at 604-931-1911 to confirm your patient referral.

Patient Information

Client Information

Referring Hospital Information

Relevant Documents

Please upload any relevant photos, videos, and medical documents. The total file size limit is 55 MB. If you need to send additional files over this limit, or encounter any issues, please call us at 604-931-1911.ACCEPTED FILE TYPES: .pdf, .doc, .docx, all image file types, .txt, .dicom

    **ERROR: Combined size of all uploaded files is greater than 55 MB. Please remove attached files to bring combined file size down to less than 55 MB.****ERROR: Please upload at least one file.**ERROR: There was a problem sending your referral. Please wait and try again later, or call us directly at 604-931-1911.**