How to refer - Severn Vets

If your referral is urgent, please contact us directly on 01905 756156.

Veterinary professionals- please fill out our referral form below, once we have received your client’s details we will contact them and arrange an appointment. We are always happy to discuss cases and offer advice and guidance over the phone if needed.

Referral Form

Select your referral type: *

Relevant clinical history: *

Current treatment: *

Attach clinical history and blood results: *

Referring practice details:

Practice name: *

Practice address: *

Apt, suite, etc.

Country

City

Zip code

Practice telephone number: *

Practice email: *

Refering vet: *

Client details:

Patient name: *

Practice address: *

Apt, suite, etc.

Country

City

State

Zip code

Practice telephone number: *

Practice telephone number:

Patient details:

Patient name: *

Species: *

Breed: *

Age: *

Sex: *

Terms & Privacy *

I agree and I am over the age of 18

I agree to have read and accepted your terms and privacy policy. Your privacy is important to us and you can find out more about how we use your data from our “Full Privacy Notice” which is available from in the links above.

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