Refer a Case

If your referral is for an emergency or requires urgent attention, please contact us by phone to ensure it is prioritised. Without a phone call, there may be a delay in receiving the necessary treatment.

Referring vet first name(Required)

Referring vet last name(Required)

Name of referring practice(Required)

Practice email(Required)

Practice phone number(Required)

Pet owner's details

Owner's title(Required)

Owner first name(Required)

Owner last name(Required)

Owner's address(Required)

Owner's phone number(Required)

Owner's email(Required)

Pet's details

Pet's name(Required)

Species(Required)

Breed(Required)

Sex(Required)

Male

Female

Is the pet neutered?(Required)

Yes

Date of birth(Required)

Weight

Referral case details

Clinical service required(Required)

CT scan – select conditions(Required)

Laparoscopic surgery – select conditions

Laparoscopic spay (ovariectomy)

Laparoscopic surgery

Laparoscopic assisted gastropexy

Laparoscopic liver biopsies

Appointment priotity(Required)

Reason for referral(Required)

Current medications

Full medical history

Max. file size: 50 MB.

Images or results

Max. file size: 50 MB.

Is the patient insured?(Required)

Yes

Insurance company

Insurance policy number

CAPTCHA

Refer a case

If your referral is for an emergency or requires urgent attention, please contact us by phone to ensure it is prioritised. Without a phone call, there may be a delay in receiving the necessary treatment.

Pet owner's details

Pet's details

Referral case details