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Emergency Vet Care in James City County, VA

Coastal Animal Referral Emergency (CARE) is inside James City County at 5295 John Tyler Highway, just minutes from Toano, Norge, Lightfoot, Grove and the Jamestown area. We are open from Friday at 7:30 a.m. through Monday at 9:00 p.m., around the clock on Saturday and Sunday, with CT, surgery and ICU care on site. Call (757) 703-0199 before you come.

Why CARE

Why pet owners in James City County choose CARE

Right here in the county

Our hospital sits inside James City County on John Tyler Highway, so local families reach advanced emergency care without leaving the area.

Diagnostics run all weekend

We run and read X-ray, ultrasound, CT, and bloodwork on site every weekend, so there is no waiting for an outside lab to open.

More than a typical ER

Hyperbaric oxygen therapy, hemoperfusion, endoscopy, hospitalization, and emergency surgery are available together in one place.

A partner to your vet

We are Fear Free Certified and work hand in hand with county practices so your pet's care continues smoothly afterward.

James City County's general practices keep regular weekday hours. On weekends, and for cases that need more than a clinic can provide, neighbors come to CARE. Because we are in the county, you reach us quickly, and we coordinate with your family veterinarian so follow-up care is seamless.

Getting here in James City County

CARE is on John Tyler Highway at the corner of Route 199 and Route 5, in front of Food Lion and next to Bruster's. For most county residents, from Toano and Norge to Lightfoot, Grove and the Jamestown area, the drive takes just a few minutes. You do not have to cross the region to reach emergency and advanced care. Get directions from James City County in Google Maps.

Call (757) 703-0199 before you leave. Our team can tell you whether your pet should come in now and be ready when you walk through the door. Pets with life-threatening emergencies are always seen first.

For James City County veterinarians: referring a patient

We work hand in hand with family veterinarians across James City County. Refer a case whichever way is fastest for your team:

Cases referring practices often send us:

We send detailed reports and updates back to you, and referring clinics can get automatic patient status updates through our Instinct EMR portal on Shareville. Email refer@care199.com to set up your clinic's login. More on our Referring Veterinarians page.

Emergency guides for James City County pet owners

When CARE is closed: Tuesday to Thursday

We are closed Tuesday, Wednesday and Thursday unless a holiday falls on one of those days. Call your James City County veterinarian first. We work closely with your primary vet and with many emergency hospitals outside the area: for an emergency Tuesday to Thursday, we recommend The COVE in Suffolk or VEST in Virginia Beach, and Richmond also has a variety of specialty hospitals. For a poisoning, the ASPCA Animal Poison Control Center answers around the clock at (888) 426-4435 (a consultation fee applies). See our weekend hours for details.

Frequently asked questions

Coastal Animal Referral Emergency (CARE) is inside James City County at 5295 John Tyler Highway, so most residents reach us in just a few minutes. We are open from Friday at 7:30 a.m. through Monday at 9:00 p.m., 24 hours on Saturday and Sunday. Call (757) 703-0199 on your way.

No referral is required for an emergency. County veterinarians are also welcome to refer patients to us for advanced imaging, hyperbaric oxygen therapy, and hemoperfusion.

Yes. Veterinarians can refer by email at refer@care199.com, by phone at (757) 703-0199, by fax at (757) 703-1199, or through the referral form on our website. We send reports and updates back to your veterinarian.

Our weekend coverage runs from Friday at 7:30 a.m. through Monday at 9:00 p.m., open around the clock on Saturday and Sunday. We are closed Tuesday, Wednesday, and Thursday, though we are often open on holidays that fall on those days. Call (757) 703-0199 to confirm before arriving.

The exam fee is currently $199 during the day and $255 at night. After the exam, a veterinarian gives you a treatment plan and cost estimate before treatment starts, and a deposit is based on the plan you approve. Financing is available through Cherry, CareCredit and All Pet Card.

Call before you head to CARE

Calling ahead lets our team prepare for your pet and talk through the drive from James City County. We are ready the moment you arrive.

Call (757) 703-0199
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