Referral Form

  • Referring Veterinarian Information

  • MM slash DD slash YYYY
  • Client Information

  • Patient/Pet Information

  • Please fax or email the complete record and medical history with submission of this form (include vaccine history, labwork, radiographs and any other pertinent information). Fax: (252) 557-3487

COVID-19 ANNOUNCEMENT: Due to the recent increase in COVID-19 cases, we are now requiring all staff and clients to wear masks while in the building, regardless of vaccination status. The safety of both our staff and clients is of the utmost importance to Points East Veterinary Emergency Hospital. Thank you for your continued support.
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