Ensure your referral goes smoothly


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.

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

A downloadable PDF of the referral form is available by clicking here.
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 admin@eye-vet.co.uk

    Client Information

    Animal Information

    Practice Information

    Conditions


    Emergency - You MUST call the practice before sending this online referral form as this is deemed an emergency.
    Low Priority - Will be seen within 1-2 weeks
    Emergency1-3 daysWithin 1 weekLow Priority

    CataractsGlaucomaCorneal UlcerUvetisTraumaSudden BlindnessLens LuxationEntropion/EctropionKCS (Dry Eye)DistichiasisKeratitisCherry eyeOther

    Medical Details

    Comments such as 'see history' will not be accepted and returned to you for completion

    By submitting this referral request I:

    (1) as the treating Veterinary Surgeon, confirm that I have all necessary rights and legal bases, and/or have obtained consent, to collect and share the personal data of the Owner with Eye-Vet Ltd and the Linnaeus family of veterinary businesses for the purpose of veterinary treatment. I agree to indemnify Eye-Vet Ltd and the Linnaeus family of veterinary businesses in the event that I do not have the lawful rights to collect, use and share the personal data of the Owner; and
    (2) agree to be bound by the Eye-Vet/Pets at Home Vet Group Privacy Policy, which explains how the data I have submitted will be used