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Veterinary Referral Form

Submit our online veterinary referral form

Behaviour problems may arise both directly and indirectly as a result of concurrent or previous medical problems. Veterinary involvement is therefore essential in eliminating organic causes of the problem and prioritising the diagnostic and treatment strategy to be used in any given case.

In order to safeguard the welfare of your patient and indicate your approval of referral or delegation to the Second Nature Behaviour team, please complete the following veterinary referral form. Please note that until a case is released to another veterinary surgeon then you, as the client’s normal veterinary surgeon, remain responsible for the treatment, advice and any prescriptions given.

As we are active in the training behaviourists working towards independent accreditation, pet behaviour students may sit in on your patient’s consultation, or advanced students may lead the consultation under the direct supervision of one of our senior behaviourists.  All students sign strict confidentiality agreements and are appropriately insured.  If you would prefer your client not to be offered a student consultation, please let us know.

Data protection notice: Second Nature Behaviour will use personal data about this animal for the purpose of providing animal behaviour counselling services, as well as for our internal administration and management purposes. We will treat all of this information in confidence and keep it secure. We may need to share it with veterinary staff and other animal care professionals for the purpose of helping us to provide the animal behaviour counselling services, but will only do so with your permission and your client’s permission. For more information about how we use your data, please see our Privacy Policy, which also contains information about your privacy rights.

Please note that if you make a referral through this form, the data will be encrypted and processed in accordance with the Jotform Privacy Policy. Alternatives referral means are described here.

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