Refer online

Veterinary professionals – refer your patients online quickly and efficiently. Register to save time when you next refer and view your referral history. In a hurry? Simply scroll down and refer as usual.

Emergency or urgent cases: please call 01483 423761 (Orthopaedics & Neurology) or 01483 668100 (Oncology & Soft Tissue)

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

Start the referral

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Requirements
Referral centre*
- Orthopaedics
- Neurology
- Cardiology
- Rehabilitation
- Oncology
- Soft Tissue
- Interventional Radiology
Please indicate urgency*
Select Referral centre option first to see the available service options.
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
Title*
First name*
Surname*
Address*
Postcode*
Telephone*
Mobile
Email
Patient details
Name*
Species*
Breed*
Date of birth*
DD slash MM slash YYYY
Colour
Gender & neutering status*
Is the patient fit for travel?
Insured?
Patient cautions
Behavioural / handling notes
Referral
Please summarise the reason for referral assessment, including the complaint/presumed diagnosis, clinical symptoms, duration of symptoms, treatment/medication trialled or ongoing, any pre-existing conditions, and expectation of visit. This will enable your referral to be triaged swiftly and accurately.
Reason for referral*
For Rehabilitation referrals, please specify whether for physiotherapy, hydrotherapy or both.
Documents
Please provide all relevant clinical history, results, reports and diagnostic imaging at the same time as the referral. This is especially important if the patient has been seen elsewhere. Please collate all relevant information and send together with the referral request.
Patient history & supporting documents
Drop files here or
Accepted file types: png, pdf, jpg, jpeg, doc, docx, dcm, gif, zip, Max. file size: 22 MB, Max. files: 12.
Files on a third-party/cloud system must be downloaded to your current device to be able to upload them to this form.
There is a limit of 12 files / 22MB in total for all uploaded files.
Send larger attachments (videos / imaging / CT / MRI) via WeTransfer.com, Dropbox or similar file transfer service to [email protected] (Eashing) or [email protected] (Guildford).
Hidden
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 (14MB maximum). To send larger attachments, please email (14MB max per email) to [email protected] (Eashing) or [email protected] (Guildford).
Referring vet details
Title*
First name*
Surname*
Practice name*
Address*
Postcode*
Telephone*
Hidden
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 is collated and attached with this referral request.
Please tell us why you chose Fitzpatrick Referrals
Please add additional notes here
All reports will be sent via email.
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.
CAPTCHA

Note: Form may take 15 seconds or more to submit, depending on the file sizes attached – only click submit once and wait for the confirmation page to load.

You will receive a confirmation email that your referral form has been successfully received. If you do not receive this or experience an issue with the form, please call us or email [email protected]

Refer online

Emergency or urgent cases: please call 01483 423761 (Orthopaedics & Neurology) or 01483 668100 (Oncology & Soft Tissue)

Start the referral

Sign in to your account

Register for an account

Save time when referring patients

Save time now

Requirements

Client details

Patient details

Referral

Documents

Referring vet details

Save your details for next time?

Other information

Note: Form may take 15 seconds or more to submit, depending on the file sizes attached – only click submit once and wait for the confirmation page to load.

You will receive a confirmation email that your referral form has been successfully received. If you do not receive this or experience an issue with the form, please call us or email [email protected]