Vet Referral Form

Please complete the form below to refer your client’s horse for diagnostics and/or treatment at Loch Leven Equine Practice.

If you are referring outside of normal office hours please call our on call vet on 07789 684245.

Referring Vet's Name

Referring Vet Practice

Referring Vet Practice Email

Preferred Number for Updates

Client Name

Client Address

Client Email

Client Telephone Number

Horse's Name

Horse's Age

Horse's Sex

Horse's Breed

Is this referral part of an Insurance Claim?

Yes No

If yes - please provide the name of the Insurance Company

Reason for Referral

History & Presenting Signs

Loch Leven Equine Practice
Beauford Paddock
Cleish
Kinross KY13 0LS

Telephone: 01577 841010
Fax: 01577 841011
Emergency: 07789 684245
Email: admin@lochlevenequine.co.uk

Custard PR