Online Referral Form

We know how busy practice can be and we want to make our referral process as easy and as streamlined as possible. There are no lengthy online forms to fill in, just submit a few key details here, submit and we'll do the rest!

We will contact the client directly and inform you once the appointment has been arranged.

We have taken steps to be able to offer minimal waiting times, even for elective procedures.

If you are a vet and would like to refer a case, please either use the link below or call us on 01494 578566.

We look forward to hearing from you.

Client Details

Client Name:

Pet Name:

Client Email:

Client Telephone Number:

Vet Details

Name of Referring Practice:

Practice Email:

Practice Telephone Number:

Name of Referring Vet:

Referral Details

Please select which department would you like to refer to? :

Please can you briefly write what diagnostic testing you have done such as radiographs or bloods (This assists us in requesting all relevant history):

Could you give us a few details about the referral you are making?:

How soon does the case need to be seen?:

Emergency (within 24 hours)
Urgent (within 72 hours)
Routine

For emergency cases, please call 01494 578566

Does the animal show signs of aggression/require special consideration for handling/examination?:

Yes
No

Attachments

Please attach the appropriate case history and any additional records e.g. test results, radiographs, ECG tracings etc (Max total file size 8MB).

Attach Animal History:

Are you able to put in a request for your team to send all history, imaging and bloods to info@hamiltonspecialists.vet or would you like our client care team to call and organise this?:

Security Question:

Select a surgery:

I have read and agreed to the privacy notice:

Online Referral Form

We look forward to hearing from you.

Client Details

Vet Details

Referral Details

Attachments

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