Skip to content
Facebook
Instagram
Linkedin
Schedule a Consultation
Orlando/Melbourne:
(407) 930-6679
Fort Lauderdale/all other locations:
(954) 527-3111
Home
HOPE
CARE
OUTCOMES
About Us
Join Our Team
For Vets
News & Events
Menu
Home
HOPE
CARE
OUTCOMES
About Us
Join Our Team
For Vets
News & Events
Schedule a Consultation
Hidden
Region
Looking into auto selecting the Region based on Preferred Location selection.
South Florida
Central Florida
Hidden
Source
POR
WEB
CIN
Hidden
Development
FUP-1
FUP-2
FUP-3
SWO-WCB
MUP
REC-PEN
REC-COM
CNF-LM
CNF-Early
CNF
Hidden
Result
VIS
CAN
NSH
Hidden
Active
Yes
No
Appt Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Appt Time
:
Hours
Minutes
AM
PM
AM/PM
Appt Location
Ft. Lauderdale
West Palm Beach
Deerfield Beach
South Miami
Stuart
Melbourne
Orlando
Wellington
Phone Consult
Virtual Consult
Appt Doctor
Dr. Maria Camps, DVM
Dr. Stephanie Correa, DVM
Dr. Ricardo Fernandez, DVM
Dr. Robin Holtsinger, DVM
Dr. Jarred Lyons, DVM
Dr. Lisa Moore, DVM
Dr. Erin Roof, DVM
Dr. Tammi Ruddle, DVM
Dr. Evan Sones, DVM, MS
Dr. Ashlyn Williams, DVM
Dr. Carrissa Wood, DVM
Pet Owner Info
Pet Owner Name
*
Prefix (Mr./Ms./Dr.)
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Pet Owner (prefix)
Pet Owner (first)
Pet Owner (last)
Pet Owner Phone
*
Pet Owner Email
*
Alt Owner Name
Prefix (Mr./Ms./Dr.)
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Alt Owner (prefix)
Alt Owner (first)
Alt Owner (last)
Alt Owner Phone
Alt Owner Email
Pet Owner Address *
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Preferred Clinic Location *
Choose a Location
Ft. Lauderdale
West Palm Beach
Deerfield Beach
South Miami
Stuart
Melbourne
Orlando
Wellington
Willing to Consider Alternate Location(s)? *
Yes
No
Animal Patient Info
Pet Name
*
Pet Species
*
Dog
Cat
Pet Sex
*
Male
Female
Neutered/Spayed
*
Yes
No
Pet Breed
*
Pet Date of Birth
*
MM slash DD slash YYYY
Pet Age
Pet Color
*
Diagnosis
*
Select a Diagnosis
Lymphoma
Mast cell tumor
Anal sac tumor
Melanoma
Osteosarcoma
Lung tumor
Hemangiosarcoma
Thyroid tumor
Mammary gland tumor
Brain tumor
Nasal tumor
Squamous cell carcinoma
Transitional cell carcinoma
Bladder tumor
Prostate tumor
Multiple Myeloma
No Diagnosis
Other
Other Diagnosis
*
I Have my Pet’s Recent Medical Records
No
Yes
To schedule the earliest possible Consultation and eliminate the delay and expense of duplicate testing, it is essential we review your pet’s recent medical records. Please attach any relevant medical records available.
If your primary and/or specialty/emergency vet(s) has additional relevant records, please contact them immediately and have the records emailed to us at records@animalcancercareclinic.com or submitted via our vet portal at CancerCareReferral.com. We will contact you within two business days to schedule your pet's consultation.
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 100.
To schedule the earliest possible Consultation and eliminate the delay and expense of duplicate testing, it is essential we review your pet’s recent medical records.
Please immediately call your primary and/or specialty/emergency vet(s) to have relevant records emailed to us at records@animalcancercareclinic.com or submitted via our vet portal at CancerCareReferral.com.
We will contact you within two business days to schedule your pet's consultation.
I Have a Primary Veterinarian
No
Yes
Veterinarian Info
Primary Vet?
Yes
No
Clinic Veterinarian
Dr.
Dr.
Clinic Vet (prefix)
Clinic Vet (first)
Clinic Vet (last)
Clinic Name
Clinic Phone
Clinic Email
Clinic Address
Clinic Street
Clinic City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Clinic State
Clinic ZIP
Clinic Info
Hidden
Portal Clinic
Hidden
Staff Member
Hidden
Portal Clinic Vet
Select a Veterinarian
Hidden
Phone
Hidden
Email
Hidden
Medical Records
Please Attach any Relevant Medical Records Available
Recent Bloodwork
(within past 3 months)
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 100.
Histopathology/Cytology Results
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 100.
Radiograph Reports or Images
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 100.
Ultrasound Report
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 100.
Doctor’s Notes
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 100.
Hidden
Additional Information
Additional Information
Briefly explain Pet’s condition, symptoms or any other information helpful for this referral.
Name
This field is for validation purposes and should be left unchanged.