Vet Referrals

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Vet Referrals

Home | Vet Referrals

VET REFERRAL REQUEST FORM

Call us for EMERGENCY

+65 6241 2011

before sending your client to us so we can make the necessary arrangements.

For other referrals, please complete the online form and we will promptly schedule an appointment with your client.

Is This An Urgent Referral

Yes No

Vets Requested

Dr. Gladys Boo (Ophthalmology Specialist) Dr. Jelisa Lin (Non specialist - Ophthalmology Clinician)

PATIENT & REFERRING VET DETAILS

Name of Referring Vet

Clinic Name

Preferred Contact Details (Referring Vet)

Patient Name

Owner's Name

Owner's Contact

Owner's Email

Species/Breed/Age

Microchip Number

Sex

Male Female Unknown

Neutered?

Yes No

Allergies:

Yes(please specify) No

Allergy specifics

Pertinent History

Current Tx Plan and Response

Differential Diagnosis

Comments And Expectations

Upload Medical History (20mb max)

At The Eye Specialist for Animals, we believe that a compassionate, personalised approach creates the best care for your pet.

By working with you and your referring veterinarian, our staff of board-certified ophthalmologists, experienced veterinary technicians and dedicated support staff develop treatment plans considering your goals for your pet. We are animal lovers and understand how stressful it is to have a pet with eye problems or vision loss. We strive to provide expert ophthalmic care for your pet and high-quality service to all our clients.

Call Us

+65 6241 2011

Find us

299 Tanjong Katong Road Singapore 437082

Email Us

[email protected]