ANNUAL LEAVE NOTICE
********************************************* Please note we are on holidays from 20th December 2024 to 20th January 2025. During this time we will take a little longer than usual to get back to you regarding surgical bookings. We are not accepting radiographs for reporting during this time.
What would you like to do?
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Book surgery
Request case advice (not ready to book surgery)
Submit post op radiographs
Book consultation
Clinic name
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Vet's name
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Clinic email
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example@example.com
New or existing patient (for Specialist Surgical Solutions)
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New patient
Existing patient (a 'new patient' form has previously been submitted for this patient)
Have you discussed costs and availability with the owner?
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Yes. The owner is aware of costs and ready to book next available
Yes. The owner is aware of costs but has specific date requirements
Availability notes - e.g. owner holidays, clinic schedule
Patient name - PLEASE INCLUDE SURNAME
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Breed
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Weight
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Age
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Gender
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Female desexed
Female entire
Male desexed
Male entire
Body condition score (1-5)
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Owner full name
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Owner email
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example@example.com
Owner phone number
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Type of surgery requested
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Orthopaedic
Soft Tissue
Orthopaedic Procedures
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Tibial osteotomy (TTO/CWO)
Extracapsular suture
MPL
FHNO
Other / Unsure. Please leave a comment below
Is cranial draw present?
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Yes
No
Not tested / unsure
MPL grade
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1
2
3
4
Unsure
Limb (select multiple if required)
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Right
Left
Uncertain. Please leave a comment below
Soft Tissue Procedures
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Anal sacculectomy
Perineal hernia
Salivary gland removal
TECA BO
Other / Unsure. Please leave a comment below
Summary of relevant history
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Post op progress e.g lameness score, patella stability, any other issues.
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Comments
Upload supporting documents if applicable
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Upload radiographs if applicable. Please note more than SIX will incur an additional fee for radiograph reporting. Refer to price list.
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OR link to radiograph viewing platform if applicable
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