Veterinary Referrals

Referral Policy

Please note that our clinic is a veterinary dermatology specialty clinic accepting consultations by referral only. A referral completed by your family veterinarian will provide us with the most detailed picture of your pet’s health from past to present. It also allows us to communicate regularly with your primary veterinarian and work together to provide the best possible care for your pet. We will do our best to treat your pet for their skin, allergy or ear condition, but routine veterinary services must continue through your family veterinarian.

We ask that you wait to do a biopsy or allergy test, and allow the Petderm team to assess the patient first, as it gives us the best chance to help your client and their pet.

In order to provide the best care possible, we ask that all referrals are done online through our website. We will contact you once we have booked your client for an appointment. If you are having any difficulty with this or you need to source an alternative way to refer, please contact our office at 403 370 8800.

    Owner Information

    Last Name*

    First Name*

    Cell Number*

    Home Number

    Email Address*

    Home Address

    Street Address*

    Address Line 2



    Postal Code*

    Pet Information







    Pet Birthdate


    Family Vet Information

    Referring Clinic*

    Referring Veterinarian*

    Phone Number*


    Clinic Address

    Street Address*

    Address Line 2



    Postal Code*

    Has this client been to any other veterinary clinics?*

    Veterinary History

    Reason for Referral*

    How long has the problem been going on?*

    Relevant dermatological history*

    Any other health issues not dermatology related?*

    Relevant diet history/information*

    Relevant medical history/information*

    Additional Information

    Is the pet on ectoparasite/endoparasite controls?*

    Please list all diagnostic tests performed*

    Additional comments and / or concerns

    Relevant Images of Skin or Medical History

    Files must be smaller than 5mb. If your file is larger than 5mb, please email it directly to

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