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Refer a Case

We understand the challenges of first opinion work and endeavour to support our referring practices with a smooth referral process. That’s why we have created our online referral form. Simply fill it out and we will get in touch as soon as possible.

For emergency referrals, please call us on 01282 423640

Please note, referrals can only be made by veterinary professionals. If you are a concerned pet owner, please speak to your local vet.

Practice Details

Referring Vet:

Referring Practice:

Practice Address Line 1:

Practice Address Line 2:

Practice City:

Practice Postcode:

Practice Email:

Practice Telephone Number:

Client Details

Client Title:

Client First Name:

Client Surname:

Client Address Line 1:

Client Address Line 2:

Client City:

Client Postcode:

Client Primary Contact Number:

Client Secondary Contact Number (optional):

Patient Details

Patient Name:

Patient Species:

Canine
Feline

Patient Breed:

Patient Age:

Patient Sex:

Is the animal insured?:

Yes
No

Referral Details

Service Required:

Laparoscopy surgery
MMP Technique

Reason for Referral:

Attachments

Please attach the appropriate case history and any additional records e.g. test results, radiographs, ECG tracings etc (Max total file size 8MB).

Attach Animal History:

Select a surgery:

Security Question:

I have read and agreed to the privacy policy:

Refer a Case

Refer a Case

Practice Details

Client Details

Patient Details

Referral Details

Attachments

It is the responsibility of the referring practice to send up to date history and relevant lab work prior to the patient being seen.