Dermatology Client Information

Dear Client:

Thank you for choosing to see us at Virginia Veterinary Specialists! In order for your first visit to proceed efficiently, please fill out the form regarding your pet’s medical history to the best of your ability. Please bring with you to the first appointment. If any questions are unclear, we will go over this at the time of the appointment.

Please do not bathe your pet for 5 days prior to the visit. Please do not treat the ears with any topicals for 2 days prior to the visit.

Please follow your primary care veterinarian’s recommendations regarding other medications your pet is receiving.

In case blood work or a procedure may be done, please do not feed your pet after midnight the night before the appointment (unless your pet is diabetic). Water can be given up until the appointment.

Please plan on spending up to 1.5 hours at the clinic with your pet for the first appointment. More time will likely be needed if a procedure is done. Recheck visits are typically about 30 minutes. Many clients are coming to a veterinary referral practice for the first time and have questions regarding the visit. Generally, most initial visits average $250 to $500. This includes the initial visit and exam fee, microorganism screen and possibly basic blood work and medications (this can vary based on type of medications needed and size of pet). The cost of skin testing is not included in this estimate. More involved diagnostic tests that include specific testing for thyroid disease, adrenal disease, and/or biopsies are also not included.

In order to consider skin allergy testing, certain withdrawal times from various medications are important:

• Oral steroids should be avoided for at least 4 weeks prior to visit.
• Your pet should not have received a long acting injectable steroid (such as DepoMedrol) for 8-12 weeks.
• Your pet should not have received short acting injectable steroids (such as Dexamethasone) for 4 weeks.
• Topical steroids (such as those found in Otomax) applied to ears should be avoided for 3
weeks prior to visit.
• Topical hydrocortisone (such as that found in some shampoos) should be avoided for 1
• Antihistamines such as diphenhydramine (Benadryl), hydroxyzine (Atarax), clemastine
(Tavist) and chlorpheniramine (ClorTrimeton) should be avoided for a period of 2 weeks
prior to allergy testing.
• Amitriptylline (Elavil) should be avoided for 2 Weeks

Be sure to follow your primary care veterinarian’s recommendations when suspending medication.
In general, we will see most appointments requiring skin testing or other procedure in the morning so that the procedure can be done over lunch. We will try our best to get these procedures done the day of the appointment. This may vary depending on the number of procedures necessary.

We look forward to meeting you and your pet!


Elizabeth Toops, DVM, MS, DACVD

  • Please Rate the Following:

  • If your pet is itchy (chewing / biting / licking / rubbing /scratching) please answer the following:

  • Medication Information:

    Please include dose and frequency of administration given if known.
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