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Veterinary referrals

For primary-care veterinarians referring a patient for cardiac surgery or consultation. We reply in the order received

01

Patient

Basic information about the patient you are referring.

Species

kg, numbers only

Sex
Neutered
02

Diagnosis

The current diagnosis and treatment. Choose "Unknown" where you are not sure.

Diagnosis
Clinical stage

If the patient has heart disease

Duration of oral medication

If the patient is on medication, please send the prescription with the records.

Most recent work-up

Counting only examinations that included echocardiography.

03

History

What we need to judge surgical risk.

Any emergency episode due to breathing difficulty?
Has the patient ever received a blood transfusion?
Underlying conditions

Select all that apply.

Records

Echocardiogram, radiographs, blood work and prescriptions. Leave empty if you have none.

Drop files here or choose them

PDF, images, DICOM, ZIP or documents. Up to 25 MB each, 10 files.

Choose files
04

Referral

Send values and findings as records; a summary is enough here.

Type of referral
05

Referring hospital

The hospital and veterinarian we should reply to.

The hospital or veterinarian number we should reply to.

The email address we will reply to.

See what we collect

Consent to collection and use of personal data

  • What we collect: your name, phone number, email (optional), your pet's name and species, symptoms and requests, preferred visit date (optional).
  • Why: to contact you about your booking request and to guide your visit.
  • How long: destroyed without delay once the booking request has been handled, except where a law requires us to keep it longer.
  • You may decline. If you do, we cannot take an online booking request, but you can still book by phone.

Consent text version 2026-09-20

Emergency guide