Radiology Referral Form Referring Veterinary Surgeon Veterinary Surgeon*Practice Name*Street Address*City*Postcode*Phone Number*Email* SignalmentPet Name*Species*Age*Gender*Brief clinical history with comments / questions* Radiographs Number of radiographs*Region*Views*CAPTCHAImportant note: We will aim to send a full written report to the email address provided within 2 working days of submission Pricing 1-9 Images – £70 + 20% VAT (£84) 10 images or more – £110 + 20% VAT (£132)