Your normal vet needs to submit a referral request for you.

Referring veterinary surgeon:

Owner's details:

Patient's details

Details of referral

Please fill in further details below depending on which service you require

Cardio-respiratory referral

MurmurArrhythmiaCollapse / weaknessCoughDyspnoeaNasal disease

Outpatient ultrasound

AbdomenSmall parts (eye/swelling/wound)Pregnancy diagnosis

Outpatient CT

Abdomen/PelvisHead (including dental)Spine: cervicalSpine: thoracolumbarForelimb: shoulderForelimb: elbowForelimb: carpi/footHindlimb: pelvis/hipHindlimb: stiflesHindlimb: tarsi/foot

Please note, patients requiring thoracic CT should be seen via the cardio-respiratory service rather than simply being booked for a CT, so please fill in the options for cario-respiratory referral above


OvariectomyCryptorchid castrateLiver biopsyOther (please specify below)

For other laparoscopic procedures, please call us on 01273 540430 or email to discuss the case first.

Clinical History Upload

Please send full history including radiographs and labarotory results.

Upload limit per file is 1mb