Referral

Refer a patient

Veterinary professionals – register to refer patients quickly and efficiently, and view your referral history.

Current appointment availability

Emergency cases: same-day | Urgent cases: within 24 – 48 hours | Routine cases: 2 – 4 working days

Referrals can only be made by veterinary surgeons, not clients. Read more about the referral process.

Sign in to your account

Forgot password?

Online Referral

Requirements
Referral service*
- Orthopaedics
- Neurology
- Dentistry
- Rehabilitation
Please indicate urgency*
For EMERGENCY or URGENT cases please call 01483 423761 to ensure your referral is seen to as a priority. Without an accompanying call, there may be a delay in appropriate treatment.
For EMERGENCY or URGENT cases please call 01483 668100 to ensure your referral is seen to as a priority. Without an accompanying call, there may be a delay in appropriate treatment.
Client details
Client name*
Address*
Postcode*
Contact number
Email
Patient details
Name*
Species*
Breed*
Date of birth*
DD slash MM slash YYYY
Gender & neutering status*
Is the patient lame?
Which limb(s)?*
Is the patient walking?
Does the patient have deep pain sensation?
Referral
Please include a case summary outlining: the reason for referral; the complaint/presumed diagnosis; clinical signs and their onset, progression and duration; treatment/medication trialled or ongoing and its effects; any pre-existing conditions; and expectation of visit. Without a case summary, there may be a delay triaging your case.
Reason for referral & case summary*
For rehabilitation referrals, please specify whether for physiotherapy, hydrotherapy or both.
Documents
Please provide all relevant clinical history, results, reports and diagnostic imaging with your referral, including those from other referral centres if the patient has been seen elsewhere.
Patient history & supporting documents
Drop files here or

Accepted file types: png, pdf, jpg, jpeg, doc, docx, dcm, gif, zip, Max. file size: 20 MB, Max. files: 12.
Files on a 3rd party/cloud system must be downloaded to your device to upload them to this form.
Maximum upload limit: 12 files / 20MB in total.
Send larger attachments (videos / imaging / CT / MRI) via WeTransfer.com or Dropbox to [email protected].
This field is hidden when viewing the form
Supporting documents*
Accepted file types: png, pdf, jpg, doc, docx, dcm, gif, zip, Max. file size: 100 MB.
Please attach supporting documents. If the documents you need to upload are on a third-party system, you must download them to your current device to be able to upload them to this form. Accepted formats: png, pdf, jpg, doc, docx, dcm, gif, zip (20MB maximum). To send larger attachments, please email (47MB max per email) to [email protected]
Referring vet details
Title*
First name*
Surname*
Practice name*
Postcode*
Telephone*
This field is hidden when viewing the form
Fax
Email*
Save your details for next time?
Not registered yet? Save your details for a quicker referral next time. You will receive an email to activate your account. In a hurry? Select ‘no’ to continue the referral.
Save your details
- Yes
- No
Email*
Email Confirm email
Password*
Enter password Confirm password

Strength indicator
Other information
Seen/referred by another referral practice?*
Has the patient been seen/referred by another referral practice prior to this referral?
Name of other referral practice
Please ensure all referral reports and imaging (DICOM /JPG) is collated and attached with this referral request.
Please tell us why you chose Fitzpatrick Referrals
Please add additional notes here
E.g. Behavioural/handling notes, any existing infections, any other conditions currently being treated/monitored.
Fitzpatrick Referrals is committed to protecting your data and privacy. To understand how we will store and use your data please see our privacy policy.
Sign up to our veterinary newsletter

Refer a patient

Current appointment availability

Save time when referring patients, register now

Sign in to your account

Start the referral

Online Referral

Requirements

Client details

Patient details

Referral

Documents

Referring vet details

Save your details for next time?

Other information