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Veterinary Professionals

Emergency Referral Form for same or next-day appointment

The form goes directly to the clinical team, who reviews the case, accepts it, and prepares an accurate cost estimate.  Depending on the option you select, we contact you or your client.

You should receive a response within 20 minutes – please call the hospital on 01793 528 341 if this does not happen.

For non-emergency referrals please use this form

Eastcott Emergency Referral Form

THIS FORM IS ACTIVE 8.30am-5.30pm MON-FRI (excluding bank holidays) – Outside of these hours, DO NOT use this form, PLEASE CALL the hospital on 01793 528 341

For use of referring veterinary surgeons only

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Further Urgent Information

Please provide any further information that our clinical team may need urgently, for instance if you have requested a callback

You only need to send the information that is needed urgently, because our administrators will call your practice phone and collect any other information we need in due course.

  • Laboratory test results (eg blood tests)
  • Radiographs

Please email this information to the relevant service as soon as possible after submitting this form.  Please also cc [email protected].

You only need to send the information that is needed urgently, because our administrators will call your practice phone and collect any other information we need in due course.

If you are using a smartphone you can send laboratory results as an image attachment using your camera.

Accepted formats: DCM, DICOM, ZIP, GZ, GZIP, RAR, 7Z, DOC, PPT, PPS, XLS, MDB, DOCX, XLSX, PPTX, ODT, ODP, ODS, ODG, ODC, ODB, ODF, RTF, TXT, PDF, JPG, JPEG, GIF, PNG, BMP
Max file size: 100MB
Up to 10 files may be attached