Advice request form

Choose priority for sdvice being sought (if urgent please phone us):

Choose department advice required from:

Orthopaedic

Spinal

Neurology

Internal medicine

Soft tissue

Cardiology

Details of enquiry (case discussion/imaging review):

Image/supporting document upload:

Max. file size: 50 MB.

Name of practice:

Practice email address:

Contact phone number:

Name of enquiring vet: First name

Last name

Preferred contact method:

Pet name:

Species:

Breed:

Untitled

Age (if known):

Sex:

Neutered:

Vaccinated:

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