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.

Total size of uploaded files should be less than 75MB

Additional images 1

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

Total size of uploaded files should be less than 75MB

Additional images 2

Total size of uploaded files should be less than 75MB

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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