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FOR VETERINARIANS

Veterinary Referral

Use the form below to submit a patient referral to Kinetic Equine Medicine.

Veterinarian symbol

This referral form is for veterinarians only. If you are a client needing a referral, please contact your regular veterinarian or complete the booking request form.


Veterinarians: Please complete and submit this form, providing a summary of the history of the case and send any supporting information. Medical records and images can be upload on the form itself, or you can email records to us at info@kineticequinemedicine.com

Veterinarian Information

Patient Information

Sex
Mare
Mare (Spayed)
Gelding
Stallion
Has this horse ever been a patient of Kinetic Equine Medicine?
Yes
No
Not sure
Please list (without results) any diagnostic tests or radiographs that you will send results for.
How urgent is this referral?
Next available
Within 2-3 weeks
Urgent - within 1 week
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