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Referral Request

Is your case urgent?

Do you have a number of cases and would prefer an in-house clinic?

Would you like in-house CPD?

Do you have an equine case?

For any of these please email mark@vetcardiologist.co.uk and or call 01453 707399

*Vets Name

*Practice Email

*Practice Phone Number

*Animals Name

*Owners Name

*Owners Email

*Owners Phone

*Patient Species

Dog

Cat

Horse

Other

*Is the animal male or female?

Male

Female

*Is the animal neutered?

Yes

*Animals Breed

*Animals Age

*Animals Date of Birth

Day

Month

Year

*Insurance

The animal is insured

The animal is NOT insured

Signs (choose all that apply)

This case is clinically very urgent

I can hear a murmur

I have detected an arrhythmia

The animal is breathless

*Short synopsis of clinical history

*Referring Practice Email

Please upload the animal’s clinical history here (this helps us triage urgency and give a sensible estimate of costs)

*File upload

If blood tests have been performed, please send all the results and dates in the last year (rather than “all normal” – I need to know which were done and I try to avoid needless repeats) Please ensure that radiographs are high resolution and not thumbnails or < 400KB

*Preferred Clinic

Chosen Clinic: Focus Referrals in Banbury

Chosen Clinic: MBG Vets in Droitwich

Chosen Clinic: Hilltop Vets in Oxford

Chosen Clinic: Donnington Grove Vets in Tadley

Chosen Clinic: Hungerford Vet Hospital

Other

For urgent cases please use the WhatsApp message via the link

Practice Locations

Refer a case

Click below to complete my referral form.

REFER A CASE

Vetcardiologist Ltd

Company number 13929171.

Reg address:

Calyx House, South Road, Taunton, Somerset TA1 3DU

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