Referral Form

To refer a case, either complete the online form or send us an email referrals@highlandvetreferrals.co.uk with the patients’ full clinical history, radiographs and any blood tests performed attached.

Referral Form

Are you requesting advice or an appointment?

Advice
Appointment

Referring Vet's Name*

Referring Vets' Practice Name*

Referring Vet Contact Number*

Referring Vet Contact Email*

Please attach full clinical history and any relevant radiographs, blood results or images.

Upload File 1*

Upload File 2

Upload File 3

Upload File 4

Please add any additional information here*

Is the client insured?

Yes
No

Select a surgery

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I have read and agreed to the privacy notice

Referral Form

Referral Form

Please attach full clinical history and any relevant radiographs, blood results or images.

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