Referral Appointment Request Form Important information for referring vets Please be aware that due to staff sickness, at the current time, the exotics service will not always be able to accept NEW referrals out of hours. Existing patients can contact the hospital as normal. Appointment Type Life Threatening (Emergency appointment) Urgent (We will be in touch within 24 hours to arrange a referral) Routine (We will be in touch within 24-72 hours to arrange a referral) Advice Please provide a short referral letter with recent treatment and test results. A member of staff will contact you to arrange an appointment at the hospital. We will also contact the client to inform them of the appointment. Some services are chargeable please see Advice enquiries Emergency Assessment For EMERGENCY APPOINTMENTS complete the following fields and phone the Small Animal Hospital 0131 650 7650 to arrange immediate referral. Collapse Paresis/Paralysis Cardiorespiratory problem Haematological problem Trauma Seizures Spinal Recent treatments Recent anaesthesia Other problems Presenting complaint Patient history (including any imaging and test results) must be sent by email to hfsareception@ed.ac.uk to accompany your referral request Clinical Service Required Behaviour Canine Internal Medicine Cardiology Dermatology Emergency and Critical care (Please also alert us by phone) Exotics Feline Internal Medicine Neurology Oncology Ophthalmology Orthopaedic Surgery Repair Clinic (physiotherapy/hydrotherapy) Soft Tissue Surgery Not sure If you are referring a dog or cat with a gastrointestinal problem to Internal Medicine, do you suspect this animal to have PLE or GI lymphoma or has the animal lost a significant amount of weight? (this will help us anticipate which tests we will likely need to pre-book for the patient). If you are referring a dog or cat with a gastrointestinal problem to Internal Medicine, do you suspect this animal to have PLE or GI lymphoma or has the animal lost a significant amount of weight? (this will help us anticipate which tests we will likely need to pre-book for the patient). Have you previously submitted an advice request for this patient? Yes No Has the patient originated from or travelled outside of the UK? Yes No Not sure Behavioural challenges or special measures required? Yes No Not sure Has the pet shown similar signs or symptoms in the past? Yes No Not sure Owner details Client title - None -MissMsMrMrsDr Client forename Client surname Owner's Address Address Address 2 City/Town Postal Code Client telephone Client email Additional requirements Patient details Animal name Species - None -DogCatRabbitAfrican Pygmy HedgehogAmphibianBearded DragonBird - OtherChickenChinchillaDeguFerretFishHamsterGuinea PigInvertebrateParrotRatReptile - OtherRodent - OtherTortoise Breed Colour Sex Age or date of birth Age DOB Insurance details Is the client insured? Yes No Insurance company Policy number Referring vet details Vet name Practice name Practice address Practice address City/Town Post code Practice email Practice telephone Thank you for your referral request. Please remember to email all relevant clinical history and test results to hfsa.reception@ed.ac.uk. I consent to the University processing the information I provide. The information you provide will only be used to manage your pet record and provide treatment as necessary. We retain your data for 10 years after our last contact with your animal. This article was published on 2024-09-02
