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Online Referral Form

This form should ONLY be used by Veterinary Surgeons, not by pet owners

Emergency, Urgent and Out-of-Hours Referrals

Please DO NOT use this form for emergency, urgent and out-of-hours referrals. Instead, call reception on 01924 908333 to speak to a member of staff

Referring Vet Registration Form for Routine Appointments

Click here if you require information about our refer a pet process before completing the Vet Registration Form for routine appointments

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The files listed below are invalid, please resubmit the form using one of the following acceptable file formats
.pdf, .doc, .docx, .xls, .xlsx, .rtf, .txt, .jpg, .bmp, .gif, .tiff, .png, .zip


Please review, correct and resubmit.

If you are experiencing difficulties using our referral form please try using another web browser i.e. Google Chrome

Please complete the following details:

* Denotes a required field

Referring Veterinary
Surgeon's Details (About You)

(NB: each user from a practice requires a unique email)

In the event of any queries, or if you have indicated below that you wish to book the appointment on behalf of your client, please specify your preferred contact method for arranging this referral:

Saving your details

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Owner's Details

NB: Please ensure that telephone numbers are current and accurate and include an STD code

In the event of any queries, and for clients preferring to book their appointment with us directly, please indicate the owner's preferred contact method:

Patient's Details


 Years    Months

Please tell us whether the patient has been seen by us before



Details of Referral

Clinical History

Clinical history and previously performed diagnostics (please include normal as well as abnormal results)

Please upload a copy of the clinical history including blood tests, urinalysis, cytology or histopathology results and radiographs using the upload button below. A brief referral letter outlining the nature of the referral is much appreciated and can help increase the efficiency of case throughput and follow-up reporting.

Further information can be emailed to [email protected] remembering to quote the case referral reference number in all correspondence (the referral reference number will be emailed to you automatically once this form is submitted).

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Note: We accept files in the following formats: .pdf, .doc, .docx, .xls, .xlsx, .rtf, .txt, .jpg, .bmp, .gif, .tiff, .png, .dcm, .eml

Attachment Checklist

Processing your registration details

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Attachment review
prior to submiting:

Please review the following attachment/s:

Contact preferences:

We would like to send you our newsletters, contact you about promotions and CPD events which may be relevant to you by post, email and SMS. If you agree to being contacted in this way please tick the relevant boxes;


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Marketing Permissions

Paragon Veterinary Referrals will use the information you provide on this form to be in touch with you and to provide updates and marketing. Please let us know all the ways you would like to hear from us:

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To receive updates from us you need to select 'Yes' to at least one Marketing Permissions option.

Paragon Veterinary Referrals is a trading name of Linnaeus Veterinary Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our Privacy Policy.

Once submitted, you will receive an email confirming your submission and providing you with a Referred Case Registration Number. In the event that you do not receive this, you may need to whitelist our email address ([email protected], [email protected]). Please select your email provider from the options below to find out how to do this.

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