Send Us A Case

For immediate assistance, please call us directly on 01243 765 247.

The Lighthouse Hospital (Inside Optivet Referrals)
3 Downley Road,
Havant,
Hampshire
PO9 2NJ

01243 765 247

247@thelighthousevets.com

Transfer Form - Veterinary Practices

Practice Details

Veterinary Surgeon

Practice

Town

Postcode

Phone Number

Owner Details

Title

First Name

Surname

Address

House name / Number

Town

County

Postcode

Telephone 1

Telephone 2

Patient Details

Pet Name

Species

Sex

Breed

DOB

Stable for Transfer? *

Yes

Nervous/Caution Needed?

Case summary (Please outline a brief summary of the case and what diagnostic tests have been done so far)

What medication has been given and what time? *

Transfer expectations (Please select all that apply to help us provide a more accurate estimate): *

Transfer to continue with the current treatment plan

Transfer for further investigations and treatment as required

Overnight supportive care only, with transfer back to the primary veterinary practice the following morning

Transfer based on owner's preference

Other

Other:

Is there a preferred arrival time at The Lighthouse Vets?

For transparency and to support informed consent, an accurate estimate must always be communicated to the client prior to transfer, irrespective of insurance status. Please specify estimate communicated to the client:

A medical history may be attached if it is up to date

Choose a file

Hospital Sheets

Choose a file

Radiographs

Choose a file

Blood Tests

Choose a file

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