Vet Professionals — PinPoint Vet Care

Working with Vets

We aim to provide a complementary service to your primary care, and to work with you to give our patients the best quality of life that we can. We thank you for your support, and value your referrals to us.

Vet Referral/Appointment Request Form

Full name

First Name

Last Name

Practice address

Practice phone number

Practice email address

Client Full Name

Registered address

Client phone number

Add more than one if necessary

Client Email

Patient Details

Animal Name

First Name

Last Name

Species

Breed

Sex / Neutered / Entire

D.O.B / Age

Vaccination Status

Relevant Clinical History

Diagnostic Tests Performed To Date

Please list and outline any significant findings We may contact you to request copies if permitted

Diagnoses

Current Prescribed Medications

Please include drug, dose and frequency

Any Concerns/Known Contraindications

to this patient receiving acupuncture or chiropractic care

Would You Like To Discuss Any Cases Prior To Any Scheduled Appointment?

Yes

Do You Authorise Us To Provide Ongoing Care?

As authorised on this form without repeated requests in writing

Yes

I Am The Referring Vet Detailed Above

And Authorise This Referral by checking below you confirm you are the Veterinarian detailed on this form.

I confirm request for this referral and that all the details on this form are accurate

I Confirm I Have Permission To Share The Data On This Form

I confirm I have permission

Patient History File - Optional Upload (If the clinical notes file is too large to load, please email to: info@pinpointvetcare.com)

FileField; MaxSize=5MB; Multiple; addText=Upload_Your_Files

Checkbox 5

I confirm that as the primary practice for the animal(s) above, this practice rather than PinPoint Veterinary Care will continue to be responsible for the main care and out of hours cover required for the said animal(s). PinPoint Veterinary Care will provide a limited veterinary service only.

I confirm

How we work

We will fully assess your patient, provide treatment and an ongoing treatment plan, and send our clinical notes back after each appointment. We are always happy to discuss any part of the treatment plan, please contact us if you have any questions. Our hope is that we become an extension of your team, and so if at any point we feel reassessment by you, with a view to further diagnostics or medication is required, we will not hesitate to contact you to discuss this with you.

PinPoint Veterinary Care is run by a vet with over sixteen years experience as a general practitioner.

So you can be confident that your patients will be treated with knowledge of how to integrate our treatments with the current protocols and treatments of conventional medications, by someone who is well aware of the challenges of day to day primary veterinary care.

If you have any questions about the service, or you wish to discuss a particular case with us, please do not hesitate to contact us.

PinPoint Veterinary Care is also happy to provide evening or lunchtime meetings to explain to you and your team exactly what services we provide, and to which cases we can provide the most benefit. We are also very happy to provide client evenings at your practice -please contact us for more details.

If you have a case which you wish to refer to us, please fill out the referral request form below and return it to us, and send us a complete history along with any radiographs and/or blood work that have been performed. We can then contact the client directly.

Working with Vets

We aim to provide a complementary service to your primary care, and to work with you to give our patients the best quality of life that we can. We thank you for your support, and value your referrals to us.

How we work

PinPoint Veterinary Care is run by a vet with over sixteen years experience as a general practitioner.

Contact

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