Referral Form for Animal Behaviour Case

Behaviour problems may arise both directly and indirectly as a result of concurrent or previous medical problems. Veterinary involvement is therefore essential in eliminating organic causes of the problem and prioritising the diagnostic and treatment strategy to be used in any given case. In order to safeguard the welfare of your patient and indicate your approval of referral, please complete the following form. Please note that until a case is released to another veterinary surgeon then you, as the client's normal veterinary surgeon, remain responsible for the treatment, advice and any prescriptions given.
  • Practice Information

  • Client Information

  • Behaviour Details

  • Medical History

  • Max. file size: 512 MB.
  • DD slash MM slash YYYY