New Referral

New Referral Form

If you have any problems submitting the on-line form, try a different browser. Google Chrome is the recommended one. If ongoing problems, please consider using the downloadable editable pdf but let us know about any difficulties you're having.

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. Alternatively, you can download an editable pdf (see below) and email to us ( If sending this way, the recommended maximum information is 10MB (50MB using on-line form).  

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

Download Referral Form  

Referring veterinary surgeon

Client details

Patient details

Insurance 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.