Veterinary referral

(To be completed by referring veterinary practice)

If you’d like to make a referral, please fill out the following form. If you do not hear from us by the next working day, please contact us on 015394 88555. If the referral is an emergency please call and discuss with one of our vets before filling in the form.

Please include a full clinical history. For orthopaedic cases, please attach any radiographs of the case.

IMPORTANT: If you are referring a case with suspected cruciate ligament disease please include two orthogonal views of the affected limb. It is important that the lateral view includes both the stifle and the hock (see example below). This is necessary for our pre-operative planning so we can advise you and the client with regard to which surgical option(s) is appropriate.

Title
Client Name
Is the animal neutered?
Is the animal microchipped?
Please provide details of the current problem and any investigations and findings
Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.
Please add any relevant files here
Referral options?
This animal is a patient under my care and I authorise examination and/or treatment for my patient to be carried out by Oakhill Veterinary Group
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