Referral Form


If you think your case is an emergency, please contact the surgery BEFORE sending this form.

Failure to contact us regarding an emergency case may result in the referral not being processed urgently.

Due to current high caseload, we will need the form completing as well as calling us first for emergency cases so that a veterinary ophthalmologist can triage the case from the information provided in the form. They will do this as soon as they become available and will call you back as soon as possible.

Animals need to be referred to us via the first opinion vet. We regret that we cannot accept referral forms from pet owners directly.

If you require case advice only, click here.

ALL sections of the referral form MUST be completed. Incomplete referrals will not be processed.
Comments such as ‘see history’ will not be accepted and returned to you for completion.

Please attach a full history including blood results
or email them to [email protected]