First Opinions
Refer a case
First Opinions
Refer a case
Home » Referring Vets » Refer a Case

Refer a case

To refer a case to our practice, please complete the form below.

Contact us

If your enquiry is urgent, please call us on 01744 853510 and complete this form.

Refer a case

"*" indicates required fields

Referring vet's details

Client's details

Pet's details

Sex*
Is the pet neutered?*
Has the pet been abroad?*

Referral details

Max. file size: 50 MB.
Please contact me prior to the appointment to discuss the case*
Do you want a receptionist at Rutland House Referrals to contact the client to make an appointment?*
Please tick if you DO NOT agree to allow Rutland House Referrals to forward your clinical history to your client's insurance company
I agree to have read and accepted your terms and privacy policy and I am over the age of 18*
Your privacy is important to us and you can find out more about how we use your data from our Privacy Policy, available in the footer below.