Self-Referral Form for Laparoscopic Ovariectomy

Please complete the below form.

Please call the surgery on 01732 452333 when you have submitted a referral to ensure that we have received it and inform us whether it is routine, urgent or an emergency.

 

Self-Referral Form for Laparoscopic Ovariectomy

Pet Sex
Is pet neutered?
Please check this box to confirm you understand that we will request a history from the referring vet near the time of your appointment so that we are aware of any recent visits.*
Dog Size

Please note that all referral clients will be subject to an initial consultation fee of £52.75  including VAT. An estimated cost can be provided once the referral submission and accompanying paperwork have been received.

We will contact you directly to book the appointment.

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