Refer a Case

Submit Case Report

Do you wish to submit this report?

Submit Case Report

Prior to submitting please preview the report using the Save and Preview button.

Use the browser back button to return.

Cancel Case Report Assignment

Are you sure you wish to cancel your assignment to report on this case – all inputted data will be lost!

Delete Case

Do you want to delete this case?


Your login session has timed out.
Please login below.


01883 741440

Vets Telephone:

01883 741449

This site is optimised for modern web browsers, and does not fully support your version of Internet Explorer, some sections of the website may not work correctly such as web forms

Online Referral Form

Registration Form for Routine Appointments

NB: This form should ONLY be used by Veterinary Professionals not by clients wishing to make an appointment. If you are a pet owner, either contact your vet for referral or telephone North Downs Specialist Referrals on 01883 741440 for assistance.

The following form should be completed and accompanied by a referral letter, full clinical history, including laboratory results and radiographs (please supply normal and abnormal results). The history, test results/radiographs and a covering letter can either be uploaded using this registration form (see below) or they can be emailed separately to: [email protected] (if emailing, please include the Referred Case Registration Number which will be emailed to you once this form has been submitted).

To arrange an appointment

After you have submitted the form, our reception staff will contact either you or your client directly to arrange an appointment (depending on your contact preference indicated below).

All information submitted will be held securely and used only by North Downs Specialist Referrals, and never passed to third parties without your express permission.

Already signed up?


The files listed below are invalid, please resubmit the form using one of the following acceptable file formats
.pdf, .doc, .docx, .xls, .xlsx, .rtf, .txt, .jpg, .bmp, .gif, .tiff, .png, .zip

Please complete the following details:
(NB: This form should ONLY be used by Veterinary Surgeons, not by pet owners)


Please review, correct and resubmit.

You can change the urgency by clicking on the appropriate buttons

* Denotes a required field

Referring Veterinary
Surgeon's Details (About You)

Email address already taken

Your email address does not match

In the event of any queries, or if you have indicated below that you wish to book the appointment on behalf of your client, please specify your preferred contact method for arranging this referral:

Saving your details

45% Complete

Owner's Details

NB: Please ensure that telephone numbers are current and accurate and include an STD code

In the event of any queries, and for clients preferring to book their appointment with us directly, please indicate the owner's preferred contact method:

Patient's Details


 Years    Months

Has this patient been referred to NDSR previously?

Details of Referral

Clinical history and previously performed diagnostics (please include normal as well as abnormal results)

Please upload a copy of the clinical history including blood tests, urinalysis, cytology or histopathology results and radiographs using the upload button below. A brief referral letter outlining the nature of the referral is much appreciated and can help increase the efficiency of case throughput and follow-up reporting.

For each file please click on the 'Add File(s)' button.

Please keep in mind that the maximum combined size for all files is 10MB. Further information can be emailed to [email protected] remembering to quote the case referral reference number in all correspondence (the referral reference number will be emailed to you automatically once this form is submitted).

Clinical History

Add Attachments

Note: We accept files in the following formats: .pdf, .doc, .docx, .xls, .xlsx, .rtf, .txt, .jpg, .bmp, .gif, .tiff, .png, .dcm, .eml, .zip

Attachment Checklist

Processing your registration details

45% Complete


Contact preferences:

We would like to send you our newsletters, contact you about promotions and CPD events which may be relevant to you by post, email and SMS. If you agree to being contacted in this way please tick the relevant boxes;


Please choose an option
Please choose an option
Please choose an option

Marketing Permissions

North Downs Specialist Referrals will use the information you provide on this form to be in touch with you and to provide updates and marketing. Please let us know all the ways you would like to hear from us:

Please choose an option
Please choose an option
To receive updates from us you need to select 'Yes' to at least one Marketing Permissions option.

Attachment review
prior to submiting:

Please review the following attachment/s:

North Downs Specialist Referrals is part of Linnaeus Group Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our Privacy Policy.

part of the Linnaeus Group

Committed to excellence