Veterinary Referral Form

Submit a referral to Brindabella Veterinary Referral Service for specialist veterinary care in Canberra, ACT. This form is for veterinary teams referring patients and sending patient information for dogs and cats requiring specialist support.

Submit Referral Form

Important Notes

BVRS treats dogs and cats only. We do not treat exotic pets, rabbits, birds, small mammals, horses or livestock.

BVRS is not a 24-hour emergency hospital. If a patient requires urgent or emergency care, please direct the client to an appropriate emergency veterinary provider.

Submit a Patient Referral

Thank you for referring a patient to BVRS. Our team works closely with primary care veterinarians to provide specialist surgery (orthopaedic, soft tissue, minimally invasive and neurosurgery), physical therapy, rehabilitation, advanced imaging and referral support for dogs and cats.

Please complete the referral form with as much relevant information as possible so our team can review the case and communicate clearly with both your clinic and the pet owner.

Please Fill Out the Referral Form

Owner Name *

First

Last

Owner Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Owner Email *

Owner Phone Number *

Alternate Phone Number

Patient Name *

Species *

Breed *

Age *

Referring Hospital *

Referring Vet *

Reason for Referral *

Case Summary *

Pertinent Anaesthesia/Allergy/Comorbidity History

Current Medications *

Helpful Notes on Demeanour *

Client Expectations on the Day *

Medical Records / Imaging Upload

Drag & Drop Files, Choose Files to Upload

Name regarding Summary

What other communication is expected on the day? For example, how is the case being handed back to the referring vet?

What is your preferred method to receive information regarding treatment and case management?

Phone
Text
Email

Referral Services

BVRS accepts referrals for specialist and advanced veterinary care, including specialist surgery, orthopaedic surgery, soft tissue surgery, minimally invasive surgery, physical therapy and rehabilitation, and advanced imaging/CT support.

For more information about the services we provide, visit our veterinary services in Canberra page.

Communication After Submission

Once your referral has been submitted, our team will review the information and contact the appropriate person regarding next steps. We aim to provide clear communication and timely updates to support the referring veterinary team, pet owner and patient.