If you are seeing Emergency you dont need a referral or appointment. If you need to see a specialist, like an Oncologist or Cardiologist, etc, you need a referral and an appointment. If your pet sees emergency and the ER doctor recommends a specialist to further examine, then you do not need a referral from your doctor since TVRH doctor is referring.
My experience was to just set up an appointment, we were not referred...
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