Outpatient CT request form

Please complete this form for any NON-URGENT referrals or advice requests, e.g. if you want an opinion on some imaging or results. If you need to send any additional files such as clinical history including diagnostic results and images please email below
referrals@eden-vets.co.uk.

We will aim to reply within two working days but it you haven’t heard back from us, please follow your enquiry up by calling us on 01270 439277.

Please rest assured that no referral clients will be taken on for first opinion services at Eden Vets.

Thank you, The Eden Vets Referral Team.

If you prefer a downloadable and printable version of the form please click below

CT REQUEST FORM (#4)

Primary Care

Practice Details 

Please note reports and letters will be emailed to your practice on the email address given 


Owners Details


Patient Details


Area To Be Scanned