Veterinary Referrals

For veterinary professionals

Refer a patient

This page is for veterinary surgeons and veterinary practices referring a canine patient for physiotherapy, rehabilitation, stance analysis or Class IV laser therapy. I will review the clinical information, contact the owner and keep your practice informed.

Are you a dog owner? For a general question, use the Contact form. If you are ready to proceed, complete the New Client Intake Form.

Fill in referral form

Professional assurance

Clinical care you can refer to with confidence

Abigail Pass iMSc Vet Phys | RAMP

Level 7 Integrated Master’s Degree in Veterinary Physiotherapy
Registered with RAMP
Veterinary Osteoarthritis Alliance Blue Paw Award
Canine hydrotherapy practical training, Greyfriars Training UK (2025)
Clear clinical reasoningAssessment and treatment are selected around the individual patient and referral information.
Collaborative communicationFindings, plans and relevant progress updates can be shared with the referring practice.
Appropriate onward reviewPatients are referred back whenever further veterinary assessment or investigation is indicated.

Referral form

Patient and clinical details

Please include the relevant diagnosis, medical history, medication, precautions and supporting files. Required fields are marked with an asterisk.

Referral & patient information

Please provide the clinical reason for referral and the patient information needed to plan appropriate care.
Primary referral request
Please include the primary diagnosis or suspected condition, current clinical signs and treatment goals.

Medical information

Please share the clinical information needed for safe, appropriately reasoned treatment.
Include relevant surgery, imaging, test results, previous treatment and current management.
Please include current medication, known contraindications or precautions, and anything that will help the patient feel safe.
Is the patient fit to attend the Hungerford clinic?
Drag & Drop Files, Choose Files to Upload
Upload relevant records where available.
Clinical priority

Owner details

Please provide the owner’s contact information and confirm they are happy for us to contact them.
Owner name
Owner consent

Referring veterinary surgeon

Please confirm the referring clinician, practice and consent to assessment and treatment.
Referring veterinary surgeon
Veterinary consent
Data sharing
Clear Signature
You may draw your signature here, or use the required typed-name field below.
Type your full name as your accessible signature. This is required even if you also use the drawing box above.

Submitting this form with your full name and date confirms the consent declarations above. Referral information will be used to assess and arrange appropriate care for the patient.

A simple next step

Choose the right route

Owners can start with a simple enquiry. Veterinary professionals can use the dedicated referral form.

Tell me about your dog Refer a patient