Langford Vets - Advice service

Vet Details

Vet's full name *

Practice name

Practice Post Code *

Do you refer to Langford Vets? *

Yes

Practice phone number *

Please provide an alternative phone number (Preferably a direct mobile)

Best time(s) to call you *

Your email address *

If you are consulting when we call, would you like us to ask your receptionist to interrupt? *

Yes

Patient Details

Animal's name

Owner's surname

Sex *

Male

Male (neutered)

Female

Female (neutered)

Species *

Canine

Feline

Other

Breed *

Age/DOB *

Clinical Information

Will you be sending us:

Radiographs

Ultrasound

MRI

Attach images

Please attach any supplementary images here, alternatively you can email them to sah@langfordvets.co.uk or fax them to 0117 9811 277. If sending separately please state clearly the service you have requested advice from.

Additional images 1

If attaching images DICOM files are preferred for the best possible results.

Additional images 2

Patient history

Please provide a succinct summary of the problem, and a problem list. Due to the high volume of cases we are unable to review case notes and laboratory results that are not summarised here.

Your query

Details of your enquiry *

To help our vets answer more accurately, what specifically is your question?

Advice service

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