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Dermatology Consult Form

This service is for veterinarians only – clients seeking medical information should contact their regular veterinarian for assistance.

This information will be routed to the Service that you request. We will do our best to respond as soon as possible. We do our best to respond to all consult requests in a timely manner. The need to balance teaching and ongoing care of our active cases with the high volume of consult requests may delay our response. In general, we are unable to review medical records. Quality clinical images are appreciated and can be attached. Because consults are often addressed at the end of the day, please provide contact information for the late evening, if possible.

Veterinarian Contact Information

Consult Status(Required)
Fields marked with an * are required What is your preferred contact method?
Do we have your permission to ask your receptionist to interrupt you if you are with a client?

Owner Contact Information

Name of the owner
Address

Information about the patient

Has this patient ever been seen by any service at NC State Veterinary Hospital?
Patient/Pet Name(Required)
Species(Required)
MM slash DD slash YYYY
Gender
Drop files here or
Max. file size: 195 MB.