Radiology Report Request Form

Radiology report request form

Please complete the form below and upload your images. We will send a report to you within one working day of receipt.

This form is for Veterinary Professionals to refer patients to us. (If you are a pet owner please speak to your General Practice Vet about being referred to Davies Veterinary Specialists.)

Radiology report (1 – 9 images) £60 + VAT (£72)

Radiology report (10 images or more) £90 + VAT (£108)

MRI/CT report (1 – 5 scan sequences) £85 + VAT (£102)

MRI/CT report (6 or more scan sequences) £12.50 + VAT per extra scan sequence (£15)


Veterinary information

Owner information

Patient information

Gender

MaleFemale

Has the patient been neutered?

NeuteredNot neutered

Species

CatDogOther

It’s easy to upload your files:

Step 1 - Upload a zip file containing all supporting files via We Transfer Click here to upload
Step 2 - Click the 3 dots next to the transfer button.
Step 3 - Select the ’Send as link’ button.
Step 4 - Click Transfer, then copy and paste the We Transfer link into the field below.
You can upload up to 2GB via We Transfer’s free service.

I agree to my personal data being stored (View Privacy Policy) I agree to being contacted by emailI agree to being contacted by phone

Davies Veterinary Specialists, Manor Farm Business Park, Higham Gobion, Herts SG5 3HR 01582 883950

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