Refer a Case

Animal wellbeing is our passion. As specialist veterinary anaesthetist, we combine advanced training with genuine care, ensuring every patient receives personalised attention during their most vulnerable moments.

Patient Registration Form

Are you managing a complex Anaesthesia case or high-risk patient? Our specialist Anaesthesia team is here to provide the expertise and support you need for challenging procedures. We’re dedicated to working with you to ensure the safest possible outcomes for your patients. Please call or email us to discuss the case, or complete the patient registration form below.

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Referring Veterinarian's Details
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Client’s Details
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Patient's Details
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Medical Notes

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Referring Veterinarian's Details

You can use the form below to refer a patient to The Anaesthesia Vet

Vet Name

Veterinary Practice NameVet Phone

Vet EmailRegistration Type

Client's Details

Client First NameLast Name

Client EmailPhone Number

Would you like us to call the client and arrange an appointment?*YesNo

Patient Details

Pet's NameBreed

SexDate of birthWeight of Pet

Medical Notes & File Attachment

Reason for Referral

Previous diagnostics and treatment

Clinical Concerns/Behaviour Notes

Preferred Date or Timeframe

Services RequiredClinical AnaesthesiaConsultationTelemedicine

Please attach history, diagnostics, radiographs and imaging here. (PDF, JPG)