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 this link. Vet's Details Referring Vet: Practice Name: Email Address Preferred telephone number for Referring Vet: Client's Details Title - None - Please choose Mr Mrs Ms Miss Dr Professor Other 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: - None - Please choose Male Female Male - Castrated Breed: Height: Is the horse insured? - Select - Please choose Yes No Don't know Comments about insurance Company: Other Comments: Referral Requested request Medicine Dentistry Orthopaedic & Soft Tissue Surgery Lameness & Diagnostic Imaging Behavioural Medicine Cardiology Reproduction Ophthalmology Dermatology Neurology Respiratory Have you discussed this case with one of our senior clinicians? Yes No If yes please select clinician - None - Scott Pirie Padraig Kelly Oliver James Mattie McMaster Bruce McGorum Rebekah Kennedy Nicholas Parkinson John Keen Caroline Hahn Emma Davis Referral Urgency urgency Urgent Routine If this is an emergency or OOHs please call 0131 650 6253 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 Monday 2 September 2024
