Radiology Report Request Form

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.)

We will send a report to you within one working day of receipt.

Radiology report (1 – 8 images) £92.40 incl VAT

Radiology report (9 images or more) £138.60 incl VAT

Please complete the form below, then send any images and/ or supporting documentation by We Transfer following the steps below. Please include the We Transfer link in the We Transfer field of the form.

If you experience any problems making an online referral, please call 01582 883950 or email [email protected]

How to upload your files:

Step 1 - Please upload all relevant supporting files via We Transfer. Please include any relevant information including; full medical history, most recent test results, images and any other supporting documentation for the patient. 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 your email.
You can upload up to 2GB via We Transfer’s free service.
Please send any paperwork with the image upload via WeTransfer (it will take mixed file types).
If, for any reason, you are unable to send supporting documentation via WeTransfer, please email it directly to: [email protected]

Veterinary information

Referring Veterinary Surgeon*

Practice name*

Practice address*

Telephone*

Email*

Owner information

Owner's Title*

Owner's First Name*

Owner's Last Name*

Owner's Full Postal Address*

Owner's Postcode*

Owner's Telephone*

Owner's Email address*

Patient information

Pet's name*

Breed*

Date of birth*

Brief clinical history (including current therapy)

It’s easy to upload your files:

Step 1 - Please upload all relevant supporting files via We Transfer. Please include any relevant information including; full medical history, most recent test results, images and any other supporting documentation for the patient. 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.
Please send any paperwork with the image upload via WeTransfer (it will take mixed file types).
If, for any reason, you are unable to send supporting documentation via WeTransfer, please email it directly to: [email protected]

We Transfer Link

Davies Veterinary Specialists is part of Linnaeus Group Limited. The personal data submitted via this form will be retained only for the purpose of responding to your question or concern. 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.

You must be 16 years old or older to submit a form.