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Refer a Patient

To refer a patient, please complete our patient referral form and attach their clinical history, images, referral letter and any other supporting documents.

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‘*’ Indicates required fields.

If you struggle with any technical aspects of this form please feel free to email reception@andersonabercromby.com with the details.

Many thanks Client Care Team.

Reason for referral*

Please indicate urgency*

Emergency

Urgent

Non-Urgent

Client name (with title and initial)*

Client postal address and postcode*

Client phone number*

Client email address*

Referring vet name*

Practice name*

Postal address and postcode*

Phone number*

Email address*

Pet's name*

Breed*

Colour*

Age or date of birth*

Sex*

Male

Male Neutered

Female

Female Neutered

Has the dog lived abroad? Been tested for Brucella Canis?*

No

Yes been abroad, not tested

Yes been abroad, tested

Is the pet insured?*

Yes

No

Name of insurance company*

Is the client aware of the cost?*

Yes

No

Has a claim already been submitted for this condition?*

Yes

No

I dont know

Has an X-Ray already been taken for this condition?*

Yes

No

Attach Hx & XRays (if taken – Jpeg or Dicom)*

Drop files here or

Max. file size: 50 MB.

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Careers & Vacancies

VetPartners Practices Limited T/A Anderson Abercromby Veterinary Referrals

Registered Address: Spitfire House, Aviator Ct, York YO30 4XT

Company Number: 10084952