AVSARC Logo
Call: (08) 8132 0533

Veterinary Referral Forms

Thank you for choosing Adelaide Veterinary Specialist and Referral Centre and for referring your patient to us. We appreciate the opportunity to partner with you in your patient's care.

To begin the referral process, please complete the below online form or download and submit either by email or fax. Please ensure that all the patient's relevant medical information is attached with your referral.

Once your referral form and the patient's medical information has been submitted, it will be reviewed by our team and we will contact the patient's owner to make their appointment.

Our receptionists will send you an email to confirm your patient's appointment details.

Please be advised that incomplete information or need for clarification may delay the process.

If urgent, please contact the Animal Emergency Centre on (08) 8362 1722.

Email and Fax Referral

PDF Version (Print) MS Word Version (Print)

  • Referral to

  • Case Details

  • EMERGENCY - (please call AVSARC) Condition is life threatening, must be seen immediately
    URGENT - Patient is stable, but may decline without acute attention
    ROUTINE - Soonest available appointment

  • Referring Veterinarian

  • Client Details

  • Patient Details

  • Reason for Referral

  • Records

    Please select and attach the relevant medical information appropriate for your patient and for this referral case. For Diagnostic Imaging DICOM format is preferred along with the original and full copies of written radiology reports. For Laboratory Results, please provide the original and full copies.
  • Please ensure all files have the patients name as a reference.
    Once you have submitted your file via the Dropbox button below, please ensure you return to this screen and submit your referral.
    Upload to Dropbox