Vet Case Referrals

Urgent Referrals:
For all urgent referrals, please contact the hospital directly on 01244 853 823

Non-Urgent Referrals:
For all non-urgent referrals, please complete our online booking on this page. However, if there are any issues you can use the alternative form.

Refer a Case

Referral Form

Please select online booking or submit the form and we will be in touch as soon as we have successfully booked your client for an appointment to see a member of our team.

Owner Details

Title

First Name

Surname *

Address and Postcode *

Contact Number *

Email

Insurance Company

Patient Details

Name *

Species *

Breed *

Gender *

Weight (Kg)

Age (Years) *

Neutered *

Has patient been imported or ever travelled abroad? *

Referral Request *

This Case Is *

Outline of Problem *

Patient History

Additional Documentation

Referring Vet Details

First Name *

Surname *

Practice Name *

Address and Postcode *

Email *

Contact Number *

Please leave this field empty.

Services we offer

At ChesterGates we offer a wide range of specialist-led services to provide the highest level of care available.

Anaesthesia and Analgesia

Cardiology

Diagnostic Imaging

Soft Tissue Surgery

Internal Medicine

Neurology and Neurosurgery

Rehabilitation & Physiotherapy

Ophthalmology

Orthopaedics

Interventional Radiology

Refer a Case Request Advice