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Emergency Referral Form

To refer a patient to the emergency service at Arkansas Veterinary Emergency & Specialists, please submit the form below, or download and fax to 501-224-3785.

PLEASE NOTE: This form is for emergency referrals only. For specialist referrals, click here

Download Form

Referring Clinic / Doctor

Pet Owner Information

Patient Information

Emergency Information

From Our Clients

  • "We had to put our dog down. The team at AVES was very compassionate and caring to us and our baby. Everything was done with such respect – I was in awe of how professional everything was. Highly recommend."
    Michael L.

(501) 224-3784 Contact