Exotics Referral Form

For routine referrals please complete the form below and  attach a FULL clinical history and any laboratory results.

For URGENT referrals please contact the surgery directly on 0191 410 9674.

Referring Veterinary Surgeon Details

Client Details

Patient Details

Click or drag files to this area to upload. You can upload up to 7 files.
Please upload individual files with the following extensions: .png, .jpg, .jpeg, .doc, .docx, .pdf