Vet Professionals Refer a Case How to Refer Emergency Cases Request Advice CPD Residency Programme Internships Veterinary surgeons only Refer a Case Emergency Cases We see all TPLO cases within 48 hours* New Fixed Price - £4,350 Learn More Refer a Case Please complete the online referral form below. For emergency cases, please phone us on 01928 711400 1Vet Practice Details2Pet Owner Details3Patient Details4Investigations to Date Urgency of referral(Required)Please select an urgencyEmergency, please call to referUrgent, within 72 hoursRoutinePLEASE CALL for emergencies to ensure we have capacity to accept your case.Whilst we endeavour to accommodate this time frame, if we do not have availability, we will contact you to discuss our next available appointment.Service required(Required)Please select a serviceDermatologyDiabetic ClinicInternal MedicineNeurology/NeurosurgeryOncologyOrthopaedic SurgeryPain Management ClinicPhysiotherapySoft Tissue SurgeryDiabetic Clinic Patients(Required) Tier 1 - for diabetes management but also for other comorbidities. Tier 2 - for diabetes management (diet, insulin type and dose, exercise regime, etc.). Tier 3 - this service is suitable for non-urgent queries. Please use Request AdviceVet Practice DetailsReferring Vet Name(Required)Address(Required) Street Address City(Required)Postcode(Required)Telephone Number(Required)Mobile NumberEmail(Required) Pet Owner DetailsName(Required)Address(Required) Street Address City Postcode Telephone Number(Required)Mobile numberEmail(Required) Patient DetailsName(Required)Age/DOB(Required)Sex(Required) Male Female Male Neutered Female Neutered Breed(Required)Species(Required)Weight(Required)Brief summary of presenting complaint/reason for referral(Required)Insured?(Required) Yes No Insured with which company?(Required) Investigations to DateDo we have permission to speak to the lab on behalf of the owner?(Required) Yes No Current medical treatments/medicationsHas the dog ever travelled abroad, and if so, where?Would you prefer us to contact the owner directly to arrange their appointment?(Required) Yes No Consent I agreeBy submitting this form to Northwest Veterinary Specialists (“NWVS”), I/we confirm that I/we have express consent from the individual(s) concerned to transfer the personal data set out in this form to NWVS.To help us provide the best possible care, please ensure you send: A full clinical history, including previous practice notes All test results Any imaging files (X-rays, ultrasound, CT/MRI scans) Please email these to: [email protected]