Export 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. Please enable JavaScript in your browser to complete this form.Referring Veterinary Surgeon Details Referring Veterinary Surgeon *Referring Veterinary Practice *Practice Address *Telephone *Email address for referral reports *Client Details Client name *Client address *Client telephone *Client email *Pet Details Age *Breed *Colour *Sex *MMNFFNWhere is your pet travelling to? *When are they travelling? *Has your pet had a rabies vaccination? *YesNoN/AAny additional informationInsurance company (if applicable)Submit
