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To submit a referral please complete the form and press submit.

You will then receive a confirmation e-mail and your request will be passed to the relevant department.

We will then contact you directly to discuss the case further.

Please note: This form must be completed by the referring Veterinary Surgeon only.

New Referral

Referring veterinary surgeon

Client details

Patient details

Case details

Service to be referred to
Does this case need an urgent appointment?
Tests available
Please indicate which (if any) tests that are available and click 'Choose File' below to attached any supporting documents to your request. To add more documents, click the 'Add more attachments' link below.

Add More Attachments

Note: If this is an urgent case please make sure you have ticked the 'Urgent appointment' checkbox in the Case Details section above.

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