• Call our surgery01244 544550

Refer a Case

Have a case you wish to refer? Fill out our form below

To refer a case, please complete the form below, email admin@northwalesreferrals.co.uk or telephone 01244 544550. A member of the clinical team will discuss the case with you and arrange a convenient appointment time either with yourselves or directly with the client.

For advanced imaging referrals please download and complete an Imaging Request Form. Please email to admin@northwalesreferrals.co.uk

Referral Request Form North Wales Referrals

To submit a referral please complete the form and press submit. You will then receive a confirmation e-mail and your client will be contacted to book an appointment by our referral department. Owners are reminded that referrals MUST come from your primary care veterinary centre, we can not see patients unless referred to us by a veterinary surgeon.

Practice Details

Owner Details

Patient Details

Neutered

Referral Details

Please choose one of the options below
Discipline(s) to which you are referring
Infectious
What diagnostics have previously been performed? (Please include results/images - Dicom images can be sent using our FTP server. Please call for instructions if you are not signed up to use our FTP server.)

Financial Details

Is the Pet Insured
Security Question