Referral Forms for Our Partners in Veterinary Care

Referral Forms For Veterinarians From The Veterinary Specialty Center of Delaware

One of the core values of VSCD is to provide exceptional service to both pet owners and referring veterinarians.

Through open communication, educational exchanges and compassionate understanding we work closely with primary care veterinarians and pet owners to create a workable treatment plan for all involved.

We encourage our referring veterinarians to use the following forms to provide a first step to collaborative treatment.


At VSCD, our goal for our partners in care is to provide options to refer patients to us in the easiest, most efficient way possible. To ensure we are prepared for you patient, please consider completing a referral form for your patients by hand or on-online.

PRINTABLE FORM – Click here to complete a printable form by hand. Fax the form and a maximum of 10 pages of medical records to 302-322-6883 in advance of the patient's appointment.

ONLINE FORM – Click here to complete the form online, and to submit 10 pages of medical records in a PDF format.


Because our 16-slice CT scan requires anesthesia, we ask the primary veterinarians provide as much information as possible on this printable two-page form, then fax to our hospital at 302-322-6883 in advance of the patient's test.

To send by email:

To send by fax: (302) 322-6883