Refer a Case

Simply fill out the form below and we will take care of the rest – contacting your client to arrange an appointment, ensuring you’re kept up to date.

We are happy to discuss any challenging cases with veterinary surgeons by telephone or email, with no obligation to take them further.

Please note, this form is for veterinary professionals only. If you’re a concerned pet owner, please contact your primary care provider.

Which clinical service do you require?:

Name of Referring Vet:

Name of Practice:

City:

Postcode:

Contact Number:

Email:

Title:

First Name:

Surname:

Address:

Postcode:

Phone Number:

Mobile/Secondary Phone Number:

Insurance Provider:

Insurance Policy Number (If Applicable):

Pet's Name:

Pet's Age:

Species:

Breed:

Sex:

Neutered?:

Brief description of the problem:

Attach Pet's History:

Security Question:

Select a surgery:

I have read and agreed to the privacy notice:

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