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The Royal (Dick) School of Veterinary Studies

Equine Veterinary Services

The Royal (Dick) School of Veterinary Studies

Referral appointment request form (Vets only)

Please note this form is for referring Vets only.

If you are a horse owner and wish to register your horse at the Equine Practice please follow the link at the foot of the page.

Vet's Details

Referring Vet: *

Practice Name: *

Email Address *

Preferred telephone number for Referring Vet: *

Fax:

Client's Details

Title

Full Name: *

Address: *

Email address *

Preferred email for client report to be sent to *

Postcode:

Telephone: *

Mobile:

Animal's Details

Animal Name / Identification: *

Age: *

Sex:

Breed:

Height:

Is the horse insured? *

Comments about insurance

Company:

Other Comments:

Referral Requested

request

Medicine

Orthopaedics

Soft Tissue Surgery

Cardiology

Reproduction

Respiratory

Dentistry

Neurology

Behavioural

Referral Urgency

urgency

Urgent

Routine

History and presenting signs

You can paste text here from an external text editor:

Drugs / Treatment Given

You can paste text here from an external text editor:

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

I consent to the University processing the information I provide. *

This article was published on 29 Sep, 2023

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