Online Referral 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 blood, cytology or histopathology reports, radiographs or other images and additional history, please email 
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.

CT SCAN FORM
MRI SCAN FORM

Please download, scan and send back to us (new online form coming soon)

    TYPE OF REFERRAL

    Please choose which type you require:
    FOR EMERGENCY SAME DAY PLEASE CALL 01270 439277

    OWNER DETAILS

    INSURANCE

    Insured

    If YES please give insurance company name

    Policy number if Know

    Policy Limit

    SERVICE REQUIRED

    PATIENT DETAILS

    Brief outline of case:

    Investigations to date:
    Bloodwork:
    Urinalysis:
    X-rays:
    Ultrasound:
    CT/MRI:
    Cytology/Histology:

    Other (please Specify)

    Please attached files (PDF)

    Please indicate below if you have sent