Pool House Vets Small Animal
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Referral Form
Submit an equine referral case here
Welcome to Pool House Equine Hospital - Referral Services Referrals can be made by completing the referrals form or with our Hospital Office by calling 01283 799700 during office hours (Monday-Friday 8.30 am-5.30pm)
Urgency of Referral:
Urgent - Emergency
Fairly Urgent
Non-Urgent
Select the discipline required*:
Orthopaedics
Internal Medicine
Soft Tissue
Dentistry
MRI
Dermatology
Opthalmology
Cardio-respiratory
Other
Condition being referred for:
Is client aware of likely referral costs?:
Yes
No
Owner Details
Title:
Mr
Mrs
Miss
Dr
Other
Name:
Address Line 1:
Address Line 2:
City:
Postcode:
Email:
Telephone (Main):
Telephone (secondary):
Referring Vet Details
Title:
Mr
Mrs
Miss
Dr
Other
Name:
Practice Name:
Practice Address Line 1:
Practice Address line 2:
Practice City:
Practice Postcode:
Practice Telephone:
Practice Email:
Animal Details
Name:
Sex of patient:
Male
Female
Age:
Breed:
Is horse insured?:
Yes
No
Insurance Company:
Insurance policy number:
Has a claim started on this condition?:
Yes
No
Clinical History
Description of Clinical History:
How did you hear about us?:
Recommended
Previous referral
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Upload File 4:
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About
Meet the Team
Offers
Register Your Horse
Emergencies
Careers
Current Vacancies
Veterinary Nursing
Equine Internships
Equine Externships
IVC Evidensia Graduate Academy
Pharmacy & Dispensary
Request Repeat Prescriptions
Horse Health
Worming
Vaccinations
Castration
Colic
Equine Asthma
Cushings
Laminitis
Equine Herpes
Equine Gastric Disease
Strangles
Weight Management
Client Information Sheets
Insurance
Equine Insurance Guide
Our Guide to Equine Insurance
Payment Terms, Methods & Fees
Methods of Payment
Help with Costs
News
Mobile Services
Request a Vetting
Routine Services
Consultations and Examinations
Dentistry
Diagnostics
Digital Radiography
Endoscopy
Exporting your Horse or Pony
Gastroscopy
Horse Shows and Events
Internal Medicine
Poor Performance Examination
Free Yard Visits
Pre-Purchase Examinations
Race Cover
Rehab Therapies
Shockwave Therapy
Ultrasound
End of Life Care
Hospital
Directions
Admissions & What To Expect
Anaesthesia
Surgery
Facilities
Hospital Related Feedback Form
MRI
Book an MRI
Information for Owners
Information for Veterinarians
Referrals
Referrals Team
Referral Form
Our Referral Promises
CPD
Equine Health Plan
Pay Online
Contact Us
Refer a Case
Pool House Vets Small Animal
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