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This form should ONLY be used by Veterinary Surgeons, not by pet owners.

Please DO NOT use this form for emergency, urgent and out-of-hours referrals.  Instead, call reception on 01768 877255 to speak to a member of staff.

If you are having problems with submitting the form, please contact us on 01768 877255.

  • 1. Referring Vet Details
  • 2. Client Details
  • 3. Patient Details
1. Referring Vet Details