Vet Referral Form (Vets use only):

If you are a veterinary practice and you would like to refer an animal to us for hydrotherapy & physiotherapy, please complete the form below.

If you have any queries, please call 0208 995 2060.

Please read carefully before submitting this referral.

Please could you kindly inform all your client's being referred the following: Dogtown work with the dog's without client's being present, therefore client's cannot stay with their dog's during the first initial consultation or furture sessions. We do spend time discussing the dog's condition, lifestyle, behaviour and their expectations prior to the full assessment. Experience has shown that the dog's respond and relax much more when owners are not present and we get better engagement in the activity and therefore much greater results. Thank you

Example +44 7712345689
If mixed breed, Please state all breeds if known.
Radio options for Sex
Please state all conditions & Injury's on this referral. Thank you
Please state the date, the client first come with the condition or injury.
Please statement any behavioral issues, (Lunges & Growls).

Treatments:

Please use this section to indicate treatments & if there is any contraindications. Condition or Situation why treatment should not be used.

Radio options for Pool Hydrotherapy
Radio options for Underwater Treadmill Hydrotherapy
Radio options for Land Based Physiotherapy
Radio options for Class 4 Laser
Important, if there is any contraindications, to the below Treatments ( Please state them here):

Other Information

I understand & acknowledge:
Please attached all relevant/required Medical History, (PDF format) Thank you. Please note that there is a maximum of 6mb that you can upload.
Only Veterinarians can sign off the form details Thank you