Referring Vets

Welcome to Eye Right Referrals. We know time is precious so we have created a service aimed at making things easy for you. From an online booking system for your clients so there is no need for back-and-forth phone calls, to a short referral form, and of course a reliable and client-focused service where you can trust that your clients will be looked after and leave feeling back in control.

Pet Owners Referral

Please read Vet Referral guidance notes.

This form should ONLY be used by Veterinary Surgeons, not by pet owners. Pet owners, please Click Here.
Do not use this form for emergencies or urgent and out-of-hours referrals. Instead, call us on 01383 344088.
If you need assistance or are having problems with submitting the form, please contact us at vet@eyerightreferrals.co.uk
Please upload the clinical history and any recent results of investigations

1. Referring Vet Details

Practice Name*

Vet Telephone*

Vet Full Name*

Vet Email*

Practice Address*

2. Client Details

Client Name*

Client Telephone*

Client Telephone 2

Client Email*

Client Address*

3. Patient Details

Animal Name*

Species*

Breed*

Date of Birth*

Colour*

Gender/Neutering Status*

Insured*

Ever travelled outside the UK?

Is sedation required?*

Reason for referral*

Upload clinical history

pdf, csv, doc, ppt, docx, ody, odp, ods, txt, rtf, xls, xlsx, odt, ott

Priority*

4. Disclaimer

Disclaimer*

I Agree

You, as the treating Veterinary Surgeon, confirm that you have all necessary rights and legal bases, and/or have obtained consent, to collect and share the personal data of the Owner with Eye Right Referrals for the purpose of veterinary treatment. You agree to indemnify Eye Right Referrals in the event that you do not have the lawful rights to collect, use and share the personal data of the Owner.

I Agree

We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy. The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes.

Our Services

Price-List Quick view