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Tel: 01928 711 400

Veterinary surgeons only

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Mon - Fri: 7am - 9pm
Sat: 9am - 5pm
Sun: 9am - 3pm

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About
Services
Pet Owners
Vet Professionals
Careers
Emergency Cases
News
Contact

Vet Professionals

Refer a Case
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- Emergency Cases
Request Advice
CPD
Residency Programme
Internships
Fixed Prices
- Orthopaedics

Veterinary surgeons only

Emergency Cases

Request Advice

Please complete the online advice form below.
If you have any further queries email: [email protected]

Seizures Advice

If you should need advice on seizures, please use the below seizures advice form.

Seizures Advice

Advice Request Form

"*" indicates required fields

1Pet Owner Details

2Vet Practice Details

3Patient Details

4Investigations to Date

Service required

Untitled

Owner details

Name*

First

Address*

Street Address City ZIP / Postal Code

Telephone number*

Mobile number

Email*

Insured?*

Yes

No

If yes, which insurance company?

Practice details:

Referring Vet Name*

Address*

Street Address City ZIP / Postal Code

Telephone number*

Mobile number

Email*

Preferred contact for reports*

Email

Post

Patient details

Name*

Age/DOB*

Sex*

Male

Female

Neutered

Breed*

Species*

Brief summary of presenting complaint/reason for referral*

Investigations performed to date

Bloodwork

Yes

No

Emailed

X-rays

Yes

No

Emailed

ECG

Yes

No

Emailed

Urine analysis

Yes

No

Emailed

CT/MRI

Yes

No

Emailed

Ultrasound

Yes

No

Emailed

Other laboratory results

(Please specify which)

Yes

No

Emailed

Full clinical history will be:*

Attachments*

Drop files here or

Max. file size: 20 MB.

Current medical treatments/medications

By 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*

By 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

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About

Pet Owners

Customer Charter (PDF)

Complaints Process (PDF)

Veterinary Professionals

Residency Programme

Vet Professionals

Contact

Delamere House
Ashville Point
Sutton Weaver
Runcorn WA7 3FW

[email protected]

BVRA

Small_Animal_Hospital

iie silver 2

Dog Friendly Clinic

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