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Veterinary CT

Home > Referrals > Veterinary CT

We are happy to accept outpatient CT scan requests. These appointments will be admitted by one of our veterinary nurses and receive a full vet check before sedation/GA.

The results of the CT scan will be reported directly to the referring veterinary surgeon, by email, within 3 days or sooner if requested.

Veterinary professionals- please complete our online CT request form.

If you are human, leave this field blank.

Outpatient Referral Form

Area/s to be investigated: *

Head

Thorax

Abdomen

Shoulder

Elbow

Carpus/foot

Pelvis/hips

Stifle

Tarsus/foot

Spine C1-T2

Spine T3- tail

Relevant clinical history: *

Attach clinical history and blood results: *

Tick if patient has: *

Heart disease

Renal disease

Known adverse reactions to medications

Pregnancy

Please provide further information if any boxes are ticked:

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 details:

Patient name: *

Species: *

Breed: *

Age: *

Sex: *

Select urgency: *

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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Testimonials

Berkeley House
Tel: 01905 756156

Tybridge House
Tel: 01905 421296

Alcester
Tel: 01789 764455

Stratford-upon-Avon
Tel: 01789 292753

Henley in Arden
Tel: 01564 792444

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