Refer Online

Unless otherwise stated this vet referral is for the possible use of any of our three rehabilitation platforms – Hydrotherapy / K Laser / Physiotherapy.

NEW We now have one of the Northwest’s only Stance Analyzer’s, we include this in every assessment and we repeat the readings on every 10 session when courses are booked, we will also include these readings within our feedback to yourselves.

Only the correct and most beneficial treatments will be used at the correct time in the rehabilitation process.

All treatments are performed by our fully qualified and registered team. Thank you for taking time to refer this case to us.

Is this a NEW referral or REPEAT referral ?

NEW
REPEAT

Vet Name *

Practice Name & Branch *

Practice Phone Number *

Practice Email Address *

Name of Owner *

Owner's Phone Number *

Owner's Email Address *

Name of Dog *

Breed of Dog *

Age of Dog

Is the dog insured? *

Summary of dogs condition / injury / surgery planned or performed / comments etc *

If surgery was performed, at what date would water rehabilitation be able to start *

Any lung or respiratory issues? *

Any heart murmurs? If so what grade? *

Is the dog on any medication? If so please provide details. *

In your opinion, is the dog in suitable health to undergo treatments for which they have been referred for? *

Vets Direct Email for progress reports?

Do you require more of our flyers posting ?

Yes just the flyers
Yes flyers and the A5 plastic holders
Nothing required right now

Name

Refer Online

"Making the world a better place one dog at a time"