Online Referral Form

Note: This form is not for Emergency Transfers/Referrals. For all emergencies, please call (919) 266-9852.

rDVM Information

Referring Veterinarian
Clinic Address

Client Information

Owner's Address

Patient/Pet Information

Vaccine History - Please list date of last vaccine. Pets must be current on RABIES.

Please upload any/all of following files relating to this animal or email to [email protected].

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        Wake Veterinary Medical Center

        1007 Tandal Place
        Knightdale, NC 27545
        Phone: (919) 266-9852
        Fax: (919) 217-0314
        Email: [email protected]

        OPEN 24 HOURS EVERY DAY

        For after hours emergencies, please call (919) 266-9852.